title: Asymptomatic lung carcinoma presenting with a large vulvar lesion.
abstract: 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.
authors.affiliation: Division of Gynecologic Oncology, Departments of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
authors.forename: B C
authors.initials: BC
authors.lastname: Cooper
authors.forename: T E
authors.initials: TE
authors.lastname: Buekers
authors.forename: C M
authors.initials: CM
authors.lastname: Flynn
authors.forename: J I
authors.initials: JI
authors.lastname: Sorosky
authors.forename: R E
authors.initials: RE
authors.lastname: Buller