Abstract

A case of a 54-year old post-menopausal Nigeria woman presenting with a huge fungating advanced squamous cell carcinoma of the vulva that measured 22.1cm x 12.3cm x 5.5cm. She presented to the gynaecological clinic of our facility following a referral from a private clinic in Benin City. At presentation, she had a 3-year history of progressive vulva swelling which later became ulcerated associated with itching and pains. At surgery, there was a huge vulva mass measuring 22.1 x12.3 x5.5cm and weighed 6.4kg. She had a radical vulvectomy with inguinofemoral lymphadenectomy and was discharged home on the seventh day post-operative day in a stable condition. Histopathological examination revealed advanced squamous cell carcinoma of the vulva. This is one very rare huge advanced vulva cancer in a postmenopausal women reported in our locality and managed in our institution.

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