This week's artwork was donated by Lonny, a pediatric cancer patient who received treatment at The Children's Hospital of Philadelphia . Spindle and pseudoglandular squamous cell carcinoma arising in lichen sclerosus of the vulva. The period of observation was from 6 months to 18 months. All patients showed clinical improvement or full regression depending on the period of disease. In all cases histopathologic examination was performed.
Prognosis is poor in spite of treatment.
Due to the fact that only small groups of patients have been compared, conservative treatment has usually been recommended. In recent times, radical pelvic surgery has appeared to improve the chances of survival. Treatment consisted of preliminary pelvic bilateral lymphadenectomy, anterior exenteration, and urinary bladder reconstruction according to the Bricker technique. Four months after surgical treatment, liver metastases were found. The patient is in partial remission one year after surgical treatment.