Vulvar cancer with bulky nodal metastasis in a young woman. A case report

We report a case of vulvar cancer (clinical stage IV, surgical stage III) that occurred in a young woman without identifiable risk factors. The patient underwent radical vulvectomy followed by adjuvant radiotherapy. She remained free of disease two years after diagnosis and treatment. Our case emphasizes the need to biopsy any suspicious vulvar lesions, even those in young patients. Furthermore, histologic evaluation is mandatory prior to ablation of vulvar lesions in any age group.