外阴淋巴水肿和无痛丘疹。

Brandon J Calley, Karolyn A Wanat, Olushola L Akinshemoyin Vaughn
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Lymphedema and painless papules of the vulva.
An 86-year-old woman with a history of urothelial bladder cancer currently on enfortumab and pembrolizumab presented with several months of painless papules on the bilateral labia majora, with the extension of induration to the lower abdomen. Computed tomography (CT) scan 2 months prior showed bladder wall thickening secondary to urothelial bladder cancer and subcutaneous edema in the anterior lower pelvis without enlarged lymph nodes or adnexal masses suggestive of metastatic disease. She had no history of transplant, abdominal surgery, or radiation. She wore incontinence garments for bouts of diarrhea. Physical examination revealed confluent firm and nontender pink plaques involving the bilateral labia majora, mons pubis, and lower abdomen (Fig. 1). There were 1–2 mm vesicles at the medial free margins of the clitoral hood. Punch biopsies of both the lower abdomen and right labium majus were performed with histopathologic features shown (Fig. 2).
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来源期刊
CiteScore
4.70
自引率
0.00%
发文量
52
审稿时长
18 weeks
期刊介绍: The IJWD publishes articles pertaining to dermatologic medical, surgical and cosmetic issues faced by female patients and their families. We are interested in original research articles, review articles, unusual case reports, new treatments, clinical trials, education, mentorship and viewpoint articles. Articles dealing with ethical issues in dermatology and medical legal scenarios are also welcome.Very important articles will have accompanying editorials. Topics which our subsections editors look forward to welcoming include: Women’s Health Oncology, Surgery and Aesthetics Pediatric Dermatology Medical Dermatology Society.
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