Abstract
Vulvar cancer is an uncommon malignancy with approximately 5,000 new cases and 1,100 related deaths per year in the United States. The majority of cases are squamous cell carcinoma, but approximately 10 % are less common histologic types including melanoma, basal cell carcinoma, sarcoma, Bartholin’s gland carcinoma, verrucous carcinoma, and Paget’s disease of the vulva. This chapter reviews the epidemiology, presenting symptoms, treatment, and prognosis for each of these rare, non-squamous cell vulvar tumors. Because there are limited studies describing these uncommon entities, the recommended treatment is often similar to the more common squamous cell carcinoma of the vulva. Additional research is needed to determine the optimal management for these rare vulvar malignancies.
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Benedet JL, Miller DM, Ehlen TG, Bertrand MA. Basal cell carcinoma of the vulva: clinical features and treatment results in 28 patients. Obstet Gynecol. 1997;90(5):765.
Bhattacharyya T, Patel FD, Srinivasan R, Rai B, Saha P, Nijhawan R. Rhabdomyosarcoma of vulva in a young lady: a rare case report with review of literature. J Cancer Res Ther. 2015;11(3):650. doi:10.4103/0973-1482.138116.
Bhalwal AB, Nick AM, dos Reis R, Chen CL, Munsell MF, Ramalingam P, et al. Carcinoma of the Bartholin Gland: A Review of 33 Cases. Int J Gynecol Cancer 2016. [Epub ahead of print].
Black D, Tornos C, Soslow RA, Awtrey CS, Barakat RR, Chi DS, et al. The outcomes of patients with positive margins after excision for intraepithelial Paget’s disease of the vulva. Gynecol Oncol. 2007;104(3):547–50.
Boujoual M, Hachi H, Rimani M, El Khannoussi B, Bougtab A. Verrucous carcinoma of the vulva: report of four cases. Pan Afr Med J. 2014;17:303.
Cardosi RJ, Speights A, Fiorcia JV, Grendys EC, Hakam S, Hoffman MS. Bartholin’s gland carcinoma: a 15 year experience. Gynecol Oncol. 2001;82:247–51.
Chamlian DL, Taylor HB. Primary carcinoma of Bartholin’s gland. A report of 24 patients. Obstet Gynecol. 1972;39(4):489–94.
Chokoeva AA, Tchernev G, Castelli E, Orlando E, Verma SB, Grebe M, et al. Vulvar cancer: a review for dermatologists. Wien Med Wochenschr. 2015;165(7–8):164–77. doi:10.1007/s10354-015-0354-9.
Chokoeva AA, Tchernev G, Cardoso JC, Patterson JW, Dechev I, Valkanov S, et al. Vulvar sarcomas: short guideline for histopathological recognition and clinical management. Part 1. Int J Immunopathol Pharmacol. 2015;28(2):168–77. doi:10.1177/0394632015576029.
Copeland LJ, Sneige N, Gershenson DM, McGuffee VB, Abdul Karim F, Rutledga FN. Bartholin gland carcinoma. Obstet Gynecol. 1986;67:794–801.
Creasman WT, Phillips JL, MEnck HR. A survey of hospital management practices for vulvar melanoma. J Am Coll Surg. 1999;188(6):670.
Crocker HR. Paget’s disease, affecting the scrotum and penis. Trans Pathol Soc Lond. 1889;40:187–91.
De Giorgi V, Salvini C, Massi D, Raspollini MR, Carli P. Vulvar basal cell carcinoma: retrospective study and review of the literature. Gynecol Oncol. 2005;97(1):192.
Dubreuilh W. Paget’s disease of the vulva. Br J Dermatol. 1901;13:403–13.
Guillou L, Wadden C, Coindre JM, Krausz T, Fletcher CD. “Proximal-type” epithelioid sarcoma, a distinctive aggressive neoplasm showing rhabdoid features. Clinicopathologic, immunohistochemical, and ultrastructural study of a series. Am J Surg Pathol. 1997;21:130–46.
Iavazzo C, Fotiou S, Salakos N, Bakalianou K, Kondi-Pafiti A. HPV-related verrucous carcinoma of the vulva. A case report and literature review. Eur J Gynaecol Oncol. 2011;32(6):680–1.
Kay JM, Southwood WF. Paget’s disease of the vulva associated with an unusual bladder tumour. Br J Cancer. 1964;18:233–7.
Leitao MM Jr. Management of vulvar and vaginal melanomas: current and future strategies. Am Soc Clin Oncol Educ Book. 2014;e277–81. doi: 10.14694/EdBook_AM.2014.34.e277.
Leuchter RC, Hacker NF, Voet RL, Berek JS, Townsend DE, Lagasse LD. Primary carcinoma of the Bartholin gland: a report of 14 cases and review of the literature. Obstet Gynecol. 1982;60:361–8.
Nascimento AF, Granter SR, Cviko A, Yuan L, Hecht JL, Crum CP. Vulvar acanthosis with altered differentiation: a precursor to verrucous carcinoma? Am J Surg Pathol. 2004;28(5):638–43.
Nielsen GP, Rosenberg AK, Koerner FC, et al. Smooth-muscle tumors of the vulva: a clinicopathological study of 25 cases and review of the literature. Am J Surg Pathol. 1996;20:779–93.
Ouldamer L, Chraibi Z, Arbion F, Barillot I, Body G. Bartholin’s gland carcinoma: epidemiology and therapeutic management. Surg Oncol. 2013;22:117–22.
Paget J. On disease of the mammary areola preceding cancer of the mammary gland. Bartholomew’s Hosp Rep. 1874;10:87.
Piura B, Rabinovich A, Dgani R. Basal cell carcinoma of the vulva. J Surg Oncol. 1999;70(3):172.
Preti M, Micheletti L, Ghiringhello B, Privitera S, Condello V, Chieppa P, et al. Vulvar Paget’s disease. Clinico-pathologic review of the literature. Minerva Ginecol. 2000;52(5):203–11.
Ragnarsson-Olding BK, Kanter-Lewensohn LR, Lagerlöf B, Nilsson BR, Ringborg UK. Malignant melanoma of the vulva in a nationwide, 25-year study of 219 Swedish females: clinical observations and histopathologic features. Cancer. 1999;86(7):1273–84.
Rodrigues AI, Lopes HI, Lima O, Marta S. Proximal-type epithelioid sarcoma-unusual presentation: unilateral vulvar mass. BMJ Case Rep. 2015. pii: bcr2014208488. doi:10.1136/bcr-2014-208488.
Salehin D, Haugk C, William M, Hemmerlein B, Thill M, Diedrich K, et al. Leiomyosarcoma of the vulva. Eur J Gynaecol Oncol. 2012;33(3):306–8.
Siegel RL, Miller KD, Jemal A. Cancer statistics 2015. CA Cancer J Clin. 2015;65:5–29.
Sleijfer S, Seynaeve C, Verweij J. Gynaecological sarcomas. Curr Opin Oncol. 2007;19:492–6.
Stang A, Streller B, Eisinger B, Jöckel KH. Population-based incidence rates of malignant melanoma of the vulva in Germany. Gynecol Oncol. 2005;96(1):216.
Suwandinata FS, Bohle RM, Omwandho CA, Tinneberg HR, Gruessner SE. Management of vulvar melanoma and review of the literature. Eur J Gynaecol Oncol. 2007;28(3):220–4.
Sugiyama VE, Chan JK, Shin JY, Berek JS, Osann K, Kapp DS. Vulvar melanoma: a multivariate analysis of 644 patients. Obstet Gynecol. 2007;110(2):296.
Tebes S, Cardosi R, Hoffman M. Paget’s disease of the vulva. Am J Obstet Gynecol. 2002;187(2):281–3.
Verschraegen CF, Benjapibal M, Supakarapongkul W, Levy LB, Ross M, Atkinson EN, et al. Vulvar melanoma at the M. D. Anderson Cancer Center: 25 years later. Int J Gynecol Cancer. 2001;11(5):359–64.
Wechter ME, Gruber SB, Haefner HK, Lowe L, Schwartz JL, Reynolds KR, Johnston CM, Johnson TM. Vulvar melanoma: a report of 20 cases and review of the literature. J Am Acad Dermatol. 2004;50(4):554.
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Salcedo, M.P., del Carmen, M.G., Schmeler, K.M. (2016). Rare Tumors of the Vulva. In: Pagliaro, L. (eds) Rare Genitourinary Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-30046-7_23
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DOI: https://doi.org/10.1007/978-3-319-30046-7_23
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