Abstract
Vulvar cancer is a rare malignancy which accounts 3-5% of all gynecologic tumors. Metastases to the vulva are also rare but can have significant implications for both treatment and prognosis. Here we report a case of vulvar lesion which was the presenting sign of de novo stage IV breast cancer. We describe diagnostic and treatment approach which combined aggressive first-line treatment plus definitive therapy to her vulvar metastasis.
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