TY - CHAP M1 - Book, Section TI - Carcinoma of the Vulva A1 - Brown, Jill A1 - Shvartsman, Katerina A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. Y1 - 2023 N1 - T2 - Current Medical Diagnosis & Treatment 2023 AB - ESSENTIALS OF DIAGNOSISTwo independent pathways for development: HPV or chronic inflammation.History of prolonged vulvar irritation, with pruritus, local discomfort, or slight bloody discharge.Early lesions may suggest or include non-neoplastic epithelial disorders.Late lesions appear as a mass, an exophytic growth, or a firm, ulcerated area in the vulva (eFigure 18–21).Biopsy is necessary for diagnosis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/06 UR - accessmedicine.mhmedical.com/content.aspx?aid=1193153803 ER -