Vulvar basal cell carcinoma in China: a 13-year review

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...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2009-05, Vol.200 (5), p.514.e1-514.e5
Main Authors: Lui, Philip C.W., FRCPA, Fan, Yuen Shan, FRCPA, Lau, Patrick P.L., FRCPA, Chau, Tony K.F., FRCPA, Tang, Victor W.L., FRCPA, Tse, Gary M.K., FRCPC, Yu, Alex M.C., BSc, Vong, Joaquim S.L., MSc, Tan, Puay Hoon, FRCPA, Trendell-Smith, N.J., FRCPath
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Asian Continental Ancestry Group - statistics & numerical data
basal cell carcinoma
Biological and medical sciences
Biopsy
Carcinoma, Basal Cell - ethnology
Carcinoma, Basal Cell - pathology
Dermatology
Female
female genital tract tumor
Frozen Sections
Gynecology. Andrology. Obstetrics
Hong Kong - epidemiology
Humans
Incidence
Medical sciences
Middle Aged
Obstetrics and Gynecology
Retrospective Studies
Skin Neoplasms - ethnology
Skin Neoplasms - pathology
Skin Pigmentation
skin tumor
Tumors of the skin and soft tissue. Premalignant lesions
vulva
Vulvar Neoplasms - ethnology
Vulvar Neoplasms - pathology
vulvar tumor
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Summary: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.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2008.12.004