Squamous cell vulvar carcinoma associated with Fanconi's anemia: a case report.
Fanconi's anemia (FA) is a rare autosomal recessive syndrome associated with a strong predisposition to cancer, particularly squamous cell carcinoma (SCC) of various organs. A few cases of lower genital tract neoplasia have been described. We present a 14-year-old black girl with an advanced squamous cell vulvar carcinoma treated with cisplatin chemotherapy plus radiation therapy. The patient died because of fungal sepsis. Polymerase chain reaction (PCR) was positive to human papillomavirus (HPV)-16. Vulvar carcinoma is a very rare condition in teenagers, but the association of Fanconi's anemia and SCC of many sites is common. Vulvar carcinoma when associated with Fanconi's anemia is a great treatment challenge.
Carvalho
J P
JP
Departments of Gynecology and Pathology, Clinical Oncology Service and Radiotherapy Service, University of São Paulo School of Medicine, São Paulo, Brazil.
Dias
M L Nogueira
ML
Carvalho
F M
FM
Del Pilar Estevez Diz
M
M
Petito
J W
JW
D000293:Adolescent; D000970:Antineoplastic Agents / Q000627:therapeutic use; D002177:Candidiasis / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000209:etiology* / Q000628:therapy; D002945:Cisplatin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005199:Fanconi Anemia / Q000150:complications* / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D000069585:Filgrastim; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use; D006801:Humans; D009894:Opportunistic Infections / Q000150:complications; D011994:Recombinant Proteins; D014846:Vulvar Neoplasms / Q000150:complications / Q000209:etiology* / Q000628:therapy
D000970:Antineoplastic Agents; D011994:Recombinant Proteins; D016179:Granulocyte Colony-Stimulating Factor; D000069585:Filgrastim; D002945:Cisplatin