How is vulva carcinoma?

➢ 3% of all female genital tract cancers ➢ Mostly in women older than age 60. ➢ 90% of carcinomas are SqCC ➢ Most of the other tumors are adenocarcinomas or basal cell carcinomas. ➢ Two distinct forms of vulvar SqCC : ✓ form related to high-risk HPV strains (especially HPV type 16) less common and occurs in middle aged women, particularly cigarette smokers. Often preceded by VIN. ✓ second form of squamous carcinoma occurs in older women, sometimes following a long history of reactive epithelial changes, principally lichen sclerosus