Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case

Malignant tumors of the vulva are usually budding, ulcerated, or infiltrating. The fear of cancer must always be in mind, in front of any vulvar lesion. Therefore, do not hesitate to make biopsies of any lesion of the vulva to confirm or deny a cancer. We hereby report the uncommon case of a postmen...

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Main Authors: Abderrahim Siati, Aziz Slaoui, Sarah Talib, Abdelaziz Baidada, Aicha Kharbach
Format: Article
Language:English
Published: PAMJ 2019-11-01
Series:PAMJ Clinical Medicine
Subjects:
Online Access: https://www.clinical-medicine.panafrican-med-journal.com/content/article/1/9/pdf/9.pdf
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author Abderrahim Siati
Aziz Slaoui
Sarah Talib
Abdelaziz Baidada
Aicha Kharbach
author_facet Abderrahim Siati
Aziz Slaoui
Sarah Talib
Abdelaziz Baidada
Aicha Kharbach
author_sort Abderrahim Siati
collection DOAJ
description Malignant tumors of the vulva are usually budding, ulcerated, or infiltrating. The fear of cancer must always be in mind, in front of any vulvar lesion. Therefore, do not hesitate to make biopsies of any lesion of the vulva to confirm or deny a cancer. We hereby report the uncommon case of a postmenopausal 68-old-patient followed for an atrophic vulvar lichen sclerosus which eventually transformed into an epidermoid carcinoma of the vulva. The indication for right hemivulvectomy with sentinel lymph node procedure was retained. Vulvar cancer takes a variety of aspects. It is therefore necessary to always have it in mind and to make a biopsy before any suspicious lesion. Since the atrophic vulvar lichen sclerosus of the vulva is a pre-cancerous lesion, we believe that its follow-up must be strict and a second biopsy must be performed before any worsening of the lesions. Finally, the procedure of the sentinel lymph node is of great interest when we know the morbidity of the inguinal region dissections but also the slow learning curve of surgical techniques of vulvar cancer.
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spelling doaj.art-9320bde177b848c59eef080ca0b2365f2022-12-22T00:58:15ZengPAMJPAMJ Clinical Medicine2707-27972707-27972019-11-011910.11604/pamj-cm.2019.1.9.2075320753Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon caseAbderrahim Siati0Aziz Slaoui1Sarah Talib2Abdelaziz Baidada3Aicha Kharbach4 Department of Gynecology and Obstetrics, Maternity Souissi Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco Department of Gynecology and Obstetrics, Maternity Souissi Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco Department of Gynecology and Obstetrics, Maternity Souissi Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco Department of Gynecology and Obstetrics, Maternity Souissi Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco Department of Gynecology and Obstetrics, Maternity Souissi Hospital, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco Malignant tumors of the vulva are usually budding, ulcerated, or infiltrating. The fear of cancer must always be in mind, in front of any vulvar lesion. Therefore, do not hesitate to make biopsies of any lesion of the vulva to confirm or deny a cancer. We hereby report the uncommon case of a postmenopausal 68-old-patient followed for an atrophic vulvar lichen sclerosus which eventually transformed into an epidermoid carcinoma of the vulva. The indication for right hemivulvectomy with sentinel lymph node procedure was retained. Vulvar cancer takes a variety of aspects. It is therefore necessary to always have it in mind and to make a biopsy before any suspicious lesion. Since the atrophic vulvar lichen sclerosus of the vulva is a pre-cancerous lesion, we believe that its follow-up must be strict and a second biopsy must be performed before any worsening of the lesions. Finally, the procedure of the sentinel lymph node is of great interest when we know the morbidity of the inguinal region dissections but also the slow learning curve of surgical techniques of vulvar cancer. https://www.clinical-medicine.panafrican-med-journal.com/content/article/1/9/pdf/9.pdf vulvar lichen sclerosusepidermoid cancersentinel-lymph node
spellingShingle Abderrahim Siati
Aziz Slaoui
Sarah Talib
Abdelaziz Baidada
Aicha Kharbach
Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
PAMJ Clinical Medicine
vulvar lichen sclerosus
epidermoid cancer
sentinel-lymph node
title Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
title_full Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
title_fullStr Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
title_full_unstemmed Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
title_short Atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma: about an uncommon case
title_sort atrophic vulvar lichen sclerosus evolving to an epidermoid carcinoma about an uncommon case
topic vulvar lichen sclerosus
epidermoid cancer
sentinel-lymph node
url https://www.clinical-medicine.panafrican-med-journal.com/content/article/1/9/pdf/9.pdf
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AT sarahtalib atrophicvulvarlichensclerosusevolvingtoanepidermoidcarcinomaaboutanuncommoncase
AT abdelazizbaidada atrophicvulvarlichensclerosusevolvingtoanepidermoidcarcinomaaboutanuncommoncase
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