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A case report on primary cutaneous mucoepidermoid carcinoma of the vulva and its clinico-pathologic identity

Joan Kristel B. Abrenica, MD, DPOGS; Lilli May T. Cole, MD, FPOGS, FSGOP and Jonalyn G. Bagadiong, MD, FPOGS, FSGOP, MMHoa
Department of Obstetrics and Gynecology, Jose R. Reyes Memorial Medical Center

Mucoepidermoid Carcinoma (MEC) is an epithelial malignant tumor that was first described as a salivary gland malignancy. Though common in salivary gland, it is extremely rare in the vulva with only 2 cases reported in the English language literature and none yet in the Philippines. Due to its low incidence, prognosis and definitive management is still unclear.

This is a case of a 68-year-old woman with a history of vulvar pruritus and vulvar mass at the left labia majora. Punch biopsy and review of slides revealed Invasive Squamous Cell Carcinoma, Non-Keratinizing type. She underwent Radical Vulvectomy and Bilateral Lymph Groin Dissection; Wide Excision of Perineal Area; Protective Transverse Loop Colostomy; Gracilis Myocutaneous Flap with Identification of Right and Left Median Circumflex Artery with a final histopathology report of Primary Cutaneous MEC of the vulva with lymph node metastasis.