RT Book, Section A1 Long, Jill A1 Shvartsman, Katerina A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184751840 T1 Carcinoma of the Vulva T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184751840 RD 2024/03/29 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.