BACKGROUND Vulvar defects result chiefly from oncologic resection of vulvar tumors. Reconstruction of vulvar defects restores form and function for the purpose of coitus, micturition, and defecation. Many surgical options exist for vulvar reconstruction. The purpose of this article is to present our experience with vulvar reconstruction. METHODS From 2007 to 2013, 43 women presented to us wit...

Background. Increased incidence of cancer was frequently reported in scleroderma (SSc), but no association with gynaecological malignancies was described in literature. Objectives. To investigate gynaecological neoplasms in SSc patients. Methods. In this cross-sectional analysis, we evaluated 80 SSc patients, living in the same geographical area. We considered all patients undergoing gynaecolog...

www.aafp.org/afp AMERICAN FAMILY PHYSICIAN 1269 involves human papillomavirus (HPV) infection, which leads to VIN and predisposes the patient to vulvar cancer. The second type involves vulvar non-neoplastic epithelial disorders (VNED) and advanced age, leading to cellular atypia and cancer (Table 1). Vulvar cancer most frequently occurs in women 65 to 75 years of age. It can develop in younger ...

Vulvar pruritus is a common symptom in post-menopausal women and treatment is easy if the diagnosis is duly recognized. The purpose of this study is to show the importance of colposcopic examination and directed biopsies in 27 post-menopausal women with pruritus. Biopsy sites were selected by colposcopy. The prevalence of vulvar pruritus, vulvar pathologies, vulvar dystrophies and vulvar intrae...

Vulvar cancer is a rare gynecological malignancy with mainly lymphatic spread. Sentinel node mapping plays an important role in the management of this gynecological malignancy. In the current study, we reported our experience in sentinel node mapping of vulvar cancer and review the literature accordingly. Since the introduction of sentinel node mapping to the surgical oncology community of our ...

Vulvar aggressive angiomyxoma (AA) is a rare mesenchymal tumor of the vulva. Due to its slow-growing nature, it is often overlooked and misdiagnosed by primary care providers (PCPs). We describe a case report of vulvar AA in a 38-year-old woman who underwent complete surgical excision of the neoplasm with no evidence of recurrence on a 5-year followup. A literature review follows to provide PCP...

fibroadenoma of the vulva is an uncommon lesion. it has been suggested that they originate from vulvar mammary like other glands. a few examples of benign and malignant vulvar tumors arising from such glands have been reported. a 32-year-old woman was referred with a subcutaneous mass at the vulva. the patient treated by simple excisional surgery with adequate peripheral margin. histological fi...

Primary tuberculosis (TB) of the vulva is very rare. The authors reported here a case of primary ulcerative vulvar TB in a 14 -yearold virgin girl. The diagnosis was based on the pathological finding on tissue biopsy, followed by anti tuberculosis therapy; the vulvar ulcer was completely healed. Vulvar TB must be considered when a persistent vulvar ulcer fails to respond to ordinary treatment.

The presence of a vulvar ulcer in adolescent patients is a diagnostic challenge for physicians and a cause of signifi cant stress for parents and patients.1 Vulvar ulcer is considered a rare condition. However, physicians who specialize in the care of adolescents and children with vulvar pathology consider vulvar ulcers to be a frequent complaint.2 A structured approach facilitates the study of...

Gastroesophageal-vul var leiomyomatosis is a very rare condition it is characterized by diffuse, ill-defined proliferation of smooth muscle in the esophagus and vulva. We present an interesting case of esophageal leiomyomatosis in a woman with a history of vulvar leiomyomatosis and a gall bladder full of stones. She was 18-years old and had a 4 year history of vulvar mass and clitoromegaly,...