2017 Volume 32 Issue 1 Pages 89-94
Case 1 : A 65-year-old female patient noticed itching on her vulva about 5 years before her first visit. She had painful urination and was aware of a tumor on her vulva for 4 years. She presented with a sclerous whitish area on her vulva and a reddish tumor 18 mm in diameter on her left vulva. Histopathological examination of skin biopsy revealed squamous cell carcinoma (SCC) with lichen sclerosus et atrophicus (LSA). We performed a resection 20 mm away from the mass including LSA. Sentinel lymph node biopsy was negative for metastasis, and she has not since developed recurrence or metastasis. Case 2 : An 83-year-old female patient noticed itching and pain on her vulva. She presented with a sclerous whitish area and a tumor on her vulva approximately 30 mm in diameter. A biopsy specimen revealed SCC with LSA. We performed resection a 10 mm away from the mass including LSA. However, she developed lymph node metastasis on both sides of the groin 2 months postsurgery, and died after 8 months.[Skin Cancer (Japan) 2017 ; 32 : 89-94]
