Query: 12 year old vulva

title: [Kerion Celsi on the vulva in a 15 year old girl]
abstract: This is a case report of a 15 year old girl, who developed kerion Celsi on the vulva after contact with a pet rodent. The skin was extremely painful, highly red, severely inflamed and oozing, mimicking a bacterial abscess. The patient's general condition was barely affected. PCR identified Trichophyton mentagrophytes, successfully treated with terbinafin 250 mg for 12 weeks. The majority of incidents in 11 published cases were caused by T. mentagrophytes, sensitive to terbinafin. Knowledge of this rare inflammatory dermatophytosis may cause the surgeon to abstain from surgery and to "keep calm and kerion"

title: A Histologically Anomalous Nevus of the Vulva in a 12 Year Old Girl
abstract: It is estimated that over 10% of women have pigmented lesions of the vulva including vulvar melanosis, lentigines, melanocytic nevi and rarely melanoma. A small number of nevi in children and young women present a diagnostic and therapeutic dilemma due to their histopathologic similarities to melanoma. These nevi typically have large, irregularly shaped and irregularly positioned nests that may be confluent along the dermo epidermal junction. There may be clefting between the junctional melanocytic nests and the underlying dermis and limited "pagetoid" scatter of melanocytes. Melanocytes within nests may be separated from each other giving a "dyscohesive" appearance. The junctional and most superficial dermal melanocytes may be large, with abundant pale cytoplasm. The pathology may be altered further by coexistent lichen sclerosus. A case of a large circumferential vulvar nevus, complicated by lichen sclerosus, in a 12 year old girl illustrates the characteristics of these histologically anomalous vulvar nevi. Vulvar melanoma is a deadly disease that often presents in an advanced state in elderly women. Its occurrence in children is distinctly rare. Correct diagnosis of histologically unusual vulvar nevi, especially in young women and children, is important to avoid unnecessary and morbid surgery.

title: Management of dystocia due to faulty fetal disposition complicated with vaginal prolapse in a 2 year old Yankasa ewe
abstract: Dystocia in small ruminants mostly occurs when the first or second stage of parturition is delayed. It may occur when the first stage could not progress to the second stage within 30 minutes. In this report, a 2 year old Yankasa ewe weighing 40 kg was presented at the Usmanu Danfodiyo University Veterinary Teaching Hospital Sokoto with complaints of straining and protruded mass around the vulva which was noticed 12 hours prior to presentation. Clinical examination revealed dullness, straining, a pinkish protruded mass through the vulva and pregnancy in the last trimester. Laboratory results indicated no parasite, leukocytosis, neutrophilia, eosinophilia and bandemia. Manual obstetrical maneuvers were applied to deliver the fetuses but failed. The lambs were delivered through cesarean section and the prolapsed vagina was surgically managed. The dystocia was strongly believed to have occurred in this case due to faulty fetal disposition which subsequently led to vaginal prolapse as a result of unsuccessful straining in attempt to deliver. This case report indicated that vaginal prolapse may occur as a sequela to prolonged unsuccessful straining. The conditions were managed successfully without intra and postoperative complications and relapse.

title: Primary Vaginal Ewing's Sarcoma or Primitive Neuroectodermal Tumor with Liver, Breast and Lung Metastasis in a 45 Year Old Woman
abstract: Ewing'sSarcoma/PNET of the female genital tract is very unusual, but has been reported to involve the ovary, uterine corpus, uterine cervix, and vulva. To our knowledge, only 10 12 cases of primary vaginal Ewing'sSarcoma/PNET have been previously reported in the literature and none of them had any evidence of metastasis when reported. Here, we present a rare case of primary vaginal Ewing's Sarcoma/PNET with liver, breast and lung metastasis.

title: Vulvar Carcinoma in a 12 Year Old Girl With Vertically Acquired Human Immunodeficiency Virus Infection
abstract: We report the first case of a girl with vertically acquired human immunodeficiency virus (HIV) infection, who developed invasive squamous cell carcinoma of the vulva at 12 years of age. Lesions resembling bowenoid papulosis covered the perianal area as well. She underwent a nonmutilating surgical excision of the infiltrating lesion. More than 3 years later, her clinical condition is excellent, although dysplastic, noninfiltrating multifocal lesions persist. This case highlights the need to perform careful periodic genital examinations in all HIV infected children and adolescents born to HIV positive mothers.

title: Malignant Melanoma Associated with Lichen Sclerosus in the Vulva of a 10 Year Old
abstract: Malignant melanoma of the vulva in childhood is a rare neoplasm. Lichen sclerosus of the vulva in childhood is also a rare disease. The association of these two rare lesions in the vulva of young girls is extremely rare. We present a 10 year old white girl with malignant melanoma associated with lichen sclerosus of the vulva. She had dark pigmentation of both the labia minora and posterior fourchette. The inner labia majora and fourchette showed whitish, glistening areas of skin. Histologic examination found mostly an in situ lentiginous/mucosal melanoma with focal invasion to a depth of 0.44 mm in the left upper labium majus. All specimens showed evidence of lichen sclerosus. Partial vulvectomy was performed, and no metastases were detected at the time of treatment. The patient has been disease free for the 12 months after treatment. It is critical for physicians to realize that melanoma can occur in children, and although rare, can occur in the vulva. We feel that lichen sclerosus in this instance may represent a pattern of host immune response to melanoma.

title: A giant aggressive angiomyxoma of vulva in a young woman
abstract: Aggressive angiomyxoma (AAM) is a rare and benign invasive mesenchymal stromal tumor predominantly in women at reproductive age. AAM tends to relapse locally and should be differentially diagnosed from other mesenchymal tumors.  We report here a rare case of massive vulvar AAM in a 22 year old Chinese woman with left labia majora mass with ulcer.  The diagnosis "aggressive angiomyxoma of vulva" was based on clinicopathologic and immunohistochemical features.  A surgery with local excision of the mass was performed.  The patient was discharged 12 days after the surgery. There was no AAM recurrence or metastasis in a period of 12 month follow up.  The vulvar AAM is a benign and aggressive mesenchymal tumor. In this case, we present the diagnosis, treatment, and prognosis for vulvar AAM. The tumor was removed completely by the surgery, but a long term follow up is requisite for surveilling on recurrence.

title: Verrucous Carcinoma of the Vulva: A Case Report and Literature Review
abstract: Female, 50 Final Diagnosis: Verrucous carcinoma of the vulva Symptoms: Itch tumor Medication:   Rare disease  Verrucous carcinoma (VC) of the vulva is a variation of squamous carcinoma (SCC) Etiology and treatment of VC are still unclear.  A 50 year old female visited our clinic with a giant vulvar tumor (8 cm of diameter maximum) Biopsy revealed a suspicious well differentiation squamous cancer. PET/CT (positron emission tomography/computed tomography) scan found suspicious lymph node in bilateral iliac vessel region and bilateral inguinal region. She underwent radical vulvectomy and bilateral inguinal lymph node dissection, and bilateral pelvic lymph node dissection. Pathology turns out to be VC and no lymph nodes involvement. Due to the large defection, vulvar reconstruction was performed 5 weeks later using skin grafts and pudendal thigh flap. This patient was disease free after 12 months follow up.  In patients with VC, a satisfactory biopsy is important and systemic inguinal lymphadenectomy might be omitted. For patients with large defection, flap based reconstruction is recommended.

title: EP1166 A huge vulva tumor treatment
abstract: Angiofibroblastoma is a mesenchymal tumor that affects mostly reproductive aged woman although very rare case have been reported in male. It is generally asymptomatic mass that primaily arises in the vulva region The treatment require s simple local excision. We present a case which managed with total vulvectomy, wet dressing and negative pressure wound dressing and reconstructive surgery with full thickness skin graft from both thigh.  A 29 year old female, nullioarous patient presented with five year s hystory of progressive growing of both labia. The mass was 3 x 10 x 3 cm of Rt side and 5 x 12 x 9 cm of Lt vulva that were rubbery firm abd replace both labia major  The patient underwent total vulvectomy with partial closure was done, She had everyday wet dressing and colostomy due to risk of wound contamination, She was started negative pressure dressing to help wound healing. Vulva reconstruction surgery and colostomy closure after 2 months care.  After total vulvectomy, huge operative wound can be controlled negative pressure dressing and skin graft reconstructive surgery. A gynecologist and plastic surgern cowork could lead to good result for patients. Disclosure Nothing to disclose

title: Malignant melanoma of the vulva in a nationwide, 25 year study of 219 Swedish females
abstract: Because the clinical and histopathologic features of vulvar melanoma had not been characterized completely in a large, homogeneous population, the authors retrospectively analyzed all such patients recorded in Sweden during a 25 year period.