Lymphoepithelioma Like Carcinoma

Although a common Epstein-Barr virus (EBV)-associated nasopharyngeal tumor, lymphoepithelioma-like carcinoma is rare in the vulva, and may not be associated with EBV (Fig. 36) (68). Although reported to behave less aggressively in extranasal sites, the case of Niu et al. (68) was associated with inguinal lymph node metastasis. The tumor is composed of sheets of epithelioid cell with a dense lymphoplasmacytic infiltrate (Table 36).

Figure 35 Basal cell carcinoma is characterized by peripheral palisading of the basaloid cells in the tumor nests.

Neoplasms and Related Lesions of the Vulva Table 35 Basal Cell Carcinoma

Diagnosis

Symptoms

Clinical appearance Differential diagnosis Therapy

Basal cell None, or mass or carcinoma ulceration, itching, bleeding

Mass with Clinical psoriasis, eczema, Wide local ragged pathologic-squamous excision ulcer cell carcinoma excision

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