Journal of Clinical and Investigative Surgery
Cristina N. Cozma1,2, Laura Raducu2, Adelaida Avino2, Razvan V. Scaunasu3, Ovidiu Bratu4, Dragos R. Marcu4, Cristian R. Jecan1,2
1Carol Davila University of Medicine and Pharmacy, Department of Plastic and Reconstructive Surgery, Bucharest, Romania
2Prof. Dr. Agrippa Ionescu Emergency Clinical Hospital, Department of Plastic and Reconstructive Surgery, Bucharest, Romania
3Carol Davila University of Medicine and Pharmacy, Coltea Clinical Hospital, Department of General Surgery, Bucharest, Romania
4Carol Davila University of Medicine and Pharmacy, University Emergency Central Military Hospital, Department of Urology, Bucharest, Romania
Objectives. Vulvar cancer is a rare gynecological malignancy, with an incidence of 1.5 per 100 000 women/year. The most common vulvar cancer is developed in squamous cells, the most encountered type of skin cells.
Case report. We report a case of a 72-year-old female admitted in the Department of Plastic Surgery of Emergency Clinical Hospital “Prof. Dr. Agrippa Ionescu” with a 5/4.2 cm painful ulcerated tumoral mass located in the vulvar area. The lesion slowly increased in size over the past 12 months. The tumour was surgically removed with oncological safety margins and sent for histopathological evaluation. The histopathological examination revealed an ulcerated squamous carcinoma with lymphovascular and perineural invasion, but with negative margins. Postoperative results were favorable, and no local or general complications were observed.
Conclusion. We highlight this case due to its unusual presentation in the clitoral area. Moreover, considering the potential for recurrence we point out the importance of the radical vulvectomy with regional lymphadenectomy and histopathological examination, in order to put a precise diagnosis and ensure the best possible treatment for the patient.