Case notes
A 74-year-old woman presented with a 9-month history of a white slow-growing warty lesion on her vulva ( Figure 1 ). She reported mild pruritus, but she had not experienced any significant pain or lower urinary tract symptoms. Several antiwart creams were prescribed but none produced a response. A deep surgical biopsy led to a final diagnosis of carcinoma cuniculatum (CC) ( Figures 2 and 3 ).
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The patient had a white slow-growing warty lesion on her vulva.
El Ahmed. Lesion looked like a wart, but was something far more unusual. Am J Obstet Gynecol 2013.
Deep biopsy of the lesion showing the proliferative deep infiltration of the Malpighian layer. Hematoxylin and eosin ×4.
El Ahmed. Lesion looked like a wart, but was something far more unusual. Am J Obstet Gynecol 2013.
Characteristic tunnels of this condition give the shape of rabbit burrows. Hematoxylin and eosin ×10.
El Ahmed. Lesion looked like a wart, but was something far more unusual. Am J Obstet Gynecol 2013.
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