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Previous Volume 354:769-771 February 16, 2006 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: The excellent review by Rubin et al. of basal-cell carcinoma (Nov. 24 issue)¹ considers the genital area an unusual site for basal-cell carcinomas. In our view, this site, especially the vulva, is neither unusual nor random. Like melanoma,² even basal-cell carcinomas appear in sun-shielded areas such as the vulva, challenging the conventional knowledge that associates these cancers with ultraviolet radiation.

Vulvar basal-cell carcinoma typically includes poor pigmentation and, often, a clinical appearance that mimics eczema or psoriasis.³ The dominant symptom, itching, often induces both patients and doctors to dismiss the condition as a simple irritation or intertrigo. . . . [Full Text of this Article]

This article has been cited by other articles:

• de Giorgi, V., Massi, D., Mannone, F., Checcucci, V., De Magnis, A., Sestini, S., Papi, F., Lotti, T. (2007). Dermoscopy in Vulvar Basal Cell Carcinoma. Arch Dermatol 143: 426-427 [Full Text]