Verrucous carcinoma of the vulva: Diagnosis and treatment

Vulvar cancer accounts for less than 1% of malignancies in women. verrucous carcinoma of the vulva is a rare histological variation,comprising less than 1% of vulvar cancer cases. although it is characterized as being locally invasive,the condition is not associated with metastatic spreading. lesions present in the form of a verrucous,ulcerated,and bleeding tumor that can reach large dimensions. this type of tumor can be mistaken for condylomata,both macroscopically and microscopically. we report the case of an 81-year-old patient with a large vulvar tumor presented for eight years,initially considered as a buschke-löwenstein tumor. the patient underwent radical vulvectomy with a v-y advancement flap technique. this type of tumor should be considered by clinicians dealing with condylomatous ulcerative lesions that do not respond to the usual treatment. © 2017 by anais brasileiros de dermatologia.