- 作者：Philip C.W. Lui ; Yuen Shan Fan ; Patrick P.L. Lau ; Tony K.F. Chau ; Victor W.L. Tang ; Gary M.K. Tse ; Alex M.C. Yu ; Joaquim S.L. Vong ; Puay Hoon Tan ; N.J. Trendell-Smith
- 关键词：basal cell carcinoma ; female genital tract tumor ; skin tumor ; vulva ; vulvar tumor
- 刊名：American Journal of Obstetrics and Gynecology
- 出版年：2009
- 出版时间：May 2009
- 年：2009
- 卷：200
- 期：5
- 页码：514.e1-514.e5
- 全文大小：1867 K
Objective
We conducted a 12-year retrospective review of vulvar basal cell carcinoma (BCC) in a Chinese population.Study Design
Medical records and histopathologic reports were examined from 5 major Hospitals in Hong Kong to list all patients diagnosed with vulvar BCC. Clinical data and histologic materials were reviewed.
Results
Sixteen vulvar BCCs were diagnosed. Most of them were pigmented. They were removed by simple excision or wide local excision. All the carcinomas were identified in the reticular dermis. The predominant histologic pattern was nodular, which may be mistaken as adenoid cystic carcinoma.
Conclusion
The high proportion of pigmented vulvar BCCs suggested that biopsy should be performed for any pigmented lesion in a Chinese patient. The BCCs are superficial and tissue-preserving treatment approach is recommended. The tumor depth estimation is difficult and intraoperative frozen section consultation may be helpful. Formal histopathologic assessment should be used to reach an objective diagnosis.