A searchable database of
medically documented cases

About the Project

Spontaneous Regression Of Bowenoid Atypia Of The Vulva

Skinner et al., 1973Vulvar/vaginal cancer

Obstetrics and Gynecology 42(1): July 1973; 40-46

View Original Source →

Abstract

The phenomenon of multiple lesions of Bowen’s disease appearing on the genitalia of young adults is becoming increasingly recognized. We have seen two patients who had genital lesions with histologic features of squamous carcinoma in situ, but with an entirely different clinical appearance. In both patients, varying degrees of spontaneous regression occurred. A conservative approach to management of these lesions is suggested.

Case Details

Personal Characteristics

15-year-old girl, gave birth to a normal term infant

Clinical Characteristics

Numerous 1 x 1 centimeter pigmented lesions on the posterior region of the vulva and in the perianal area, perineal pruritus, rupture of the episiotomy incision

Remission Characteristics

Change in the appearance of the perineal lesions, no bowenoid atypia

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Biopsy, chest x-ray, cytology, vdrl, pregnancy tests, proctoscopic examinations

Additional Notes

No virus could be recovered from the lesions. The patient had no evidence of infection with Herpes virus hominis type 2.