Case Report
Vulval lichen planus: progression of pseudoepitheliomatous hyperplasia to invasive vulval carcinomas

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Case report

A 62 year old woman attended our clinic in 1996 with a 40 year history of dyspareunia and a three month history of a vulval tumour. A histological diagnosis of lichen planus had been made at the age of 40. Despite two introital enlarging procedures, sexual intercourse became impossible by the age of fifty. Cutaneous, occular, auditory, oral and pharyngeal involvement have required medical interventions from many disciplines. Topical and intralesional steroids, isotretinoin and etretinate had

Discussion

Lichen planus is a relatively common dermatological condition which results in a wide range of mucocutaneous lesions. It is seen less commonly in gynaecological practice where it may present diagnostic difficulties. We describe the clinical course of a woman with longstanding lichen planus who initially was seen with vulval lesions clinically suggestive of squamous cell carcinoma but with histological features of pseudoepitheliomatous hyperplasia. Further lesions developed over the course of

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There are more references available in the full text version of this article.

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