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).
Neoplasms and Related Lesions of the Vulva Table 35 Basal Cell Carcinoma
Clinical appearance Differential diagnosis Therapy
Basal cell None, or mass or carcinoma ulceration, itching, bleeding
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