Vulval Growth

Growth on vulva Chief Complaints 60 year old female came with complaints of noticing ulcerative lesion in region of vulva History Patient noticed ulcerative lesion in vulva for 6 months Vitals Stable Physical Examination Cauliflower like growth noted in vulval region Diagnosis Kindly discuss management

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Vulval malignancy. To be confirmed by Biopsy. Treatment depends on HPE report and stage of disease . MRI pelvis required.

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Vulval cancer A slow growing malignancy Radical vulvectomy along with regional lymphadenectomy is the trt of choice in 1st and 2nd stages 3rd 4th palliative therapy

MRI of the pelvis with abdominal screening Biopsy of the lesion Looks like a highly advanced case of ca vulva. Treatment will mainly be palliative management.. If difficulty in micturition consider PCN or diversion nephrostomy Surgical management is difficult in this case will again depend upon the MRI findings If life expectancy is good and non metastatic can consider exenteration If metastatic can consider palliative debulking and chemotherapy.. Will require detailed tumor board discussion.

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Squamous cell carcinoma hp study

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SCC OF VULVA DO, BIOPSY & HPE OPINION OF ONCOSURGEON

Sq cell ca, excision biopsy,ref to oncosurgery

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(1)SSC (2)valval kochs Pl do cbc esr hivtest બાયોપસિ As it seems very highly expanding lesion very deep surgical intervansion is needed

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Squamous cell carcinoma vulva Needs biopsy and stagging of lesion Screen for mets Likely plan is excision followed with radiation

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