TY - JOUR
T1 - Clinical Characteristics of Basal Cell Carcinomas of the Vulva
T2 - An Institutional Retrospective Review
AU - Muñoz, Genevieve
AU - Singla, Parteek
AU - Hurst, Eva
AU - Council, M. Laurin
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - BACKGROUNDThere are limited data on the etiology, clinical characteristics, and optimal treatment of vulvar basal cell carcinoma (BCC).OBJECTIVEThis retrospective review may aid in treatment decisions for vulvar BCC.MATERIALS AND METHODSA retrospective review of our institutional CoPath database was performed, using search terms to identify cases of vulvar BCCs from 2000 to 2018.RESULTSA total of 35 cases of vulvar BCC were included. Patient age ranged from 33 to 97 years with a mean age of 70 years. Of the 35 cases, 28 (80%) involved the cutaneous vulva, 6 (17%) involved the suprapubic area, and 1 (3%) involved the clitoris. Most vulvar BCCs were treated by wide local excision (46%) and vulvectomies (37%), with 3 cases treated with Mohs (11%) and 2 with electrodesiccation and curettage (6%). Preoperative tumor sizes were 0.86 cm2for Mohs, 0.94 cm2for excision, and 1.54 cm2for vulvectomy. The mean margins were 3 mm for Mohs, 4.4 mm for wide local excision, and 6 mm for vulvectomy. Most cases (77%) were identified and treated by gynecology.CONCLUSIONMohs micrographic surgery should be considered for the advantages of being tissue sparing, evaluating the complete peripheral and deep margin, and avoiding the costs and risks of general anesthesia.
AB - BACKGROUNDThere are limited data on the etiology, clinical characteristics, and optimal treatment of vulvar basal cell carcinoma (BCC).OBJECTIVEThis retrospective review may aid in treatment decisions for vulvar BCC.MATERIALS AND METHODSA retrospective review of our institutional CoPath database was performed, using search terms to identify cases of vulvar BCCs from 2000 to 2018.RESULTSA total of 35 cases of vulvar BCC were included. Patient age ranged from 33 to 97 years with a mean age of 70 years. Of the 35 cases, 28 (80%) involved the cutaneous vulva, 6 (17%) involved the suprapubic area, and 1 (3%) involved the clitoris. Most vulvar BCCs were treated by wide local excision (46%) and vulvectomies (37%), with 3 cases treated with Mohs (11%) and 2 with electrodesiccation and curettage (6%). Preoperative tumor sizes were 0.86 cm2for Mohs, 0.94 cm2for excision, and 1.54 cm2for vulvectomy. The mean margins were 3 mm for Mohs, 4.4 mm for wide local excision, and 6 mm for vulvectomy. Most cases (77%) were identified and treated by gynecology.CONCLUSIONMohs micrographic surgery should be considered for the advantages of being tissue sparing, evaluating the complete peripheral and deep margin, and avoiding the costs and risks of general anesthesia.
UR - http://www.scopus.com/inward/record.url?scp=85144586409&partnerID=8YFLogxK
U2 - 10.1097/DSS.0000000000003648
DO - 10.1097/DSS.0000000000003648
M3 - Article
C2 - 36533789
AN - SCOPUS:85144586409
SN - 1076-0512
VL - 49
SP - 13
EP - 16
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 1
ER -