A variety of neoplasms have been reported to metastasize to the vulva, including other neoplasms of the genital tract (endometrium, ovary, and cervix) (Fig. 39). Gastrointestinal and urinary tract neoplasms may also metastasize to vulva on occasion, and rare cases of metastatic breast cancer to vulva have also occurred (72). Clinically, the lesions may appear similar to a primary vulvar carcinoma. Treatment is directed to the primary neoplasm, although excision for palliation may be utilized (Table 39).
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