The association of squamous cell carcinoma of the vulva and lichen sclerosus: implications for management and follow up
YOON CHIA FENELLA WOJNAROW VALERIE WALKDEN
Abstract
YOON CHIA FENELLA WOJNAROW VALERIE WALKDEN
Abstract
All cases of biopsy proven squamous cell carcinoma (SCC) of the vulva and of lichen sclerosus (LS) presenting to a district general hospital between 1984 and 1993 were studied. Twenty-eight cases of squamous cell carcinoma of the vulva were identified from histological specimens. Histological evidence of LS was found in 28.5% and clinical LS in 57%. There was poor correlation between clinical and histological findings when SCC arose on a background of LS. A second study of all cases of histological LS over the same period showed the incidence of SCC in vulval LS to be 7%.
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All cases of biopsy proven squamous cell carcinoma (SCC) of the vulva and of lichen sclerosus (LS) presenting to a district general hospital between 1984 and 1993 were studied. Twenty-eight cases of squamous cell carcinoma of the vulva were identified from histological specimens. Histological evidence of LS was found in 28.5% and clinical LS in 57%. There was poor correlation between clinical and histological findings when SCC arose on a background of LS. A second study of all cases of histological LS over the same period showed the incidence of SCC in vulval LS to be 7%.
Key concepts: Lichen sclerosus, Vulva, Medicine, Incidence (geometry), Basal cell, Biopsy, Dermatology, Pathology