75 yo female referred from primary care provider. Office pu | Figure 1
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Obstetrics & Gynecology
75 yo female referred from primary care provider. Office punch biopsy revealed squamous cell carcinoma in situ. Wide local excision depicted here included multifocal VINIII of perineum. Final path revealed 1mm of invasion of the largest lesion. She was treated with right hemivulvectomy and ipsilateral inguinal lymph node dissection. Final path: no residual tumor or metastasis. I’m posting this to show what these legions look like. Classically, invasion occurs after usually years of intraepithelial lesions. What is the most common presenting symptom?
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