title: Fatal genital verrucous carcinoma.
abstract: A rare, fatal case of verrucous carcinoma on the labia majora of a 65-year-old woman is presented. Histopathologically, the neoplasm was repeatedly diagnosed as a verruca over the course of many years. A diagnosis of verrucous carcinoma was rendered only after the documentation of lymph node metastasis. Although most cases of verrucous carcinoma have a favorable prognosis, this case illustrates that verrucous carcinoma can metastasize even when the neoplasm is superficially situated and the histopathologic findings are subtle.
authors.affiliation: Sapporo Institute for Dermatopathology, Sapporo, Japan. ansai@sapporo-dermpath.com
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Ansai
authors.forename: Tetsunori
authors.initials: T
authors.lastname: Kimura
authors.forename: Masahiro
authors.initials: M
authors.lastname: Hayashi
mesh_terms: D000368:Aged; D018289:Carcinoma, Verrucous / Q000175:diagnosis* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D011379:Prognosis