Abstract
To the Editor: Mohs micrographic surgery (MMS) is a promising treatment for vulvar cutaneous malignancies, allowing tumor-free margins while preserving structural and functional integrity. In a recent study evaluating MMS for male genital tumors, low local recurrence rates and high patient-reported satisfaction were observed,1 and other reviews have shown favorable outcomes of MMS for genital malignancies.2 However, a systematic review of vulvar MMS is lacking.
Highlights
No recurrences were reported for BCC, DFSP, verrucous carcinoma, basosquamous carcinoma, and nodular infiltrating adenocarcinoma of mammary-like glands
For BCC, all but 1 case reported outcomes; there was no recurrence at a mean follow-up of 45.6 months
Of 29 EMPD cases treated with Mohs and reporting on recurrence, recurrence occurred in 4 (13.8%) cases
Summary
To the Editor: Mohs micrographic surgery (MMS) is a promising treatment for vulvar cutaneous malignancies, allowing tumor-free margins while preserving structural and functional integrity. The treatments of SCC prior to MMS included the following: total vulvectomy (3), partial vulvectomy a 2021 by the American Academy of Dermatology, Inc. Published by Elsevier Inc. Published by Elsevier Inc Two cases of BCC reported treatment with topical imiquimod and excision prior to MMS. The prior treatment of EMPD included the following: total vulvectomy (1), partial vulvectomy (1), excision (4), MMS (2), topical imiquimod (1), and laser (1). The conventional treatment of vulvar cutaneous malignancy is wide local excision/partial vulvectomy or total vulvectomy, procedures that have been known to be associated with disfigurement and functional deficits, with psychologic, social, and sexual ramifications.[3] The current National Comprehensive Cancer Network guidelines recommend MMS for BCC and DFSP.
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