Title: Clitoral Verrucous Carcinoma: An Uncommon Presentation of a Rare Entity Of Vulvar Neoplasm (Case Report)
Authors: B. El Moubakkir, S. Lamsyah, N. Douzi, M. Bendahhou Idrissi, N. Mamouni, S. Errarhay, C. Bouchikhi, A. Banani Obstetrics gynecology department I University hospital Hassan II Fez
Volume: 9
Issue: 4
Pages: 81-83
Publication Date: 2025/04/28
Abstract:
Background: Verrucous carcinoma is a rare, well-differentiated variant of squamous cell carcinoma. Clitoral involvement is extremely uncommon and often leads to delayed diagnosis due to its slow progression and benign appearance. Presentation: A 75-year-old multiparous woman with no notable medical history presented with a neglected, exophytic clitoral lesion evolving over one year. Clinical exam showed extension to the urethra and labia minora, without lymphadenopathy. Biopsy confirmed verrucous carcinoma, and staging CT revealed no metastasis. Management: Given the tumor's location and local extent, a multidisciplinary team recommended concomitant chemoradiotherapy to preserve anatomy and function. Conclusion: Clitoral verrucous carcinoma, though rare, requires early recognition. Non-surgical management may be effective in select cases to avoid disfiguring procedures.