Asymptomatic lung carcinoma presenting with a large vulvar lesion.
OBJECTIVE
Metastases to the vulva are infrequent, accounting for less than 10% of vulvar tumors. Vulvar metastases from lung carcinoma have been reported in two other cases.


METHODS
A case of lung carcinoma metastatic to the vulva is reported.


RESULTS
A 71-year-old woman was referred to The University of Iowa Hospitals and Clinics with a lung nodule on chest x-ray and a 12-cm, necrotic, left vulvar mass. A lung biopsy showed poorly differentiated carcinoma, and a palliative resection of the vulvar mass showed metastatic lung carcinoma. The patient died from sepsis on postoperative day 10.


CONCLUSIONS
Lung carcinoma metastatic to the vulva is rare and portends a poor prognosis.
Cooper
B C
BC
Division of Gynecologic Oncology, Departments of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Buekers
T E
TE
Flynn
C M
CM
Sorosky
J I
JI
Buller
R E
RE