Case 221

Surgical Pathology Case
 

CLINICAL INFORMATION

  73-year-old female, vulvar lesion with excision.

GROSS DESCRIPTION

  The specimen consists of one 9.5 4.5 0.7 cm vulvar excision, which includes the anterior commissure of labia majora, labium minus and labium majus. A 1.0 0.7 0.4 cm exophytic lesion is identified 1.5 cm below the anterior commissure of labia majora and 0.7 cm from the closest left lateral margi with a grey-tan rough surface. The surface of the right middle one-third of the specimen is rough with involvement of the right one-third medial margin.
Code of Sections:
B1 Anterior 1/3 of right lateral margin, en face
B2-B3 Medial 1/3 of right lateral margin perpendicular sections
B4 Inferior 1/3 of right lateral margin, en face
B5 Right inferior margin, en face
B6 Left inferior margin, en face
B7 Inferior 1/2 of left lateral margin, en face
B8 Anterior 1/2 of left superior margin, en face
B9-B10 The entire exophytic nodule
B11-B13 Glands of clitoris and anterior portion of Frenulum of clitoris
 

     
 

All the thirteen sections reveal similar histological features as shown below.

 
 

HE, 2

HE, 4

 
 

HE, 10

HE, 20

 
 

HE, 20

HE, 40

     
 

Click here for diagnosis and case discussion.

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan