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March 1930


Author Affiliations

Gynecologist, Barnard Free Skin and Cancer Hospital ST. LOUIS

From the Department of Gynecology, the Barnard Free Skin and Cancer Hospital and published as one of the series of studies, observations and reports from the Dermatological Departments of the Barnard Free Skin and Cancer Hospital and the School of Medicine, Washington University, St. Louis, Mo., U. S. A., service of Dr. M. F. Engman and Dr. W. H. Mook.

Arch Derm Syphilol. 1930;21(3):431-445. doi:10.1001/archderm.1930.01440090079006

Nine years ago, I presented in the Archives a review of my experiences with leukoplakic and malignant lesions of the vulval skin. Since that time I have had considerable additional experience and an opportunity to check up on the final outcome—the five year results—in these cases, so that it seems well to present a brief outline of the conclusions of these investigations.

Forty cases of leukoplakia and 76 cases of cancer of the vulva seen since 1906 are the basis of this study. The material has been available in part through the cooperation of my fellow gynecologists and through the reference of cases by Drs. M. F. Engman, W. H. Mook and Richard S. Weiss. In a large majority of these 116 cases, material was obtained for histologic study through a partial or complete vulvectomy or through biopsy excisions.

LEUKOPLAKIC VULVITIS  First, in regard to the so-called "precancerous" lesions known

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