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Vulvar\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    accounts for &lt;1% of all\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    s and &lt;5% of all vulvar malignancies. We report the case of an 83\u00a0year\u2010old woman who presented with a 2\u2010month history of a tender labial growth, with histopathology confirming nodular\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    . We conducted a systematic literature review of the characteristics of reported cases of vulvar\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    s. A comprehensive systematic review of articles indexed for\n                    <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>\n                    and Embase yielded 96 reports describing 437 patients with 446\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    s of the vulva. The mean age at presentation was 70 (range 20\u2013100). Most women had no underlying vulvar disease. Approximately 60% of cases were of the nodular subtype. Treatment approach varied widely with over half of cases treated with wide local or local excision. Mohs micrographic surgery (\n                    <jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>\n                    ) for vulvar\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    was first reported in 1988 with seven total\n                    <jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>\n                    cases reported. Twenty\u2010three cases of recurrence have been reported; 21 of these cases after local excision but none following\n                    <jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>\n                    . Vulvar\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    is a rarely reported cancer that affects older women predominantly.\n                    <jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>\n                    represents a promising treatment for\n                    <jats:styled-content style=\"fixed-case\">BCC<\/jats:styled-content>\n                    in this anatomic location.\n                  <\/jats:p>","DOI":"10.1111\/ijd.14307","type":"journal-article","created":{"date-parts":[[2018,12,2]],"date-time":"2018-12-02T23:58:52Z","timestamp":1543795132000},"page":"892-902","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Basal cell carcinoma of the vulva: a case report and systematic review of the literature"],"prefix":"10.1111","volume":"58","author":[{"given":"Sruthi","family":"Renati","sequence":"first","affiliation":[{"name":"Department of Dermatology University of Michigan Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Dermatology Duke University Hospital Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Aluko","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Beth Israel Deaconess Medical Center Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Burgin","sequence":"additional","affiliation":[{"name":"Department of Dermatology Beth Israel Deaconess Medical Center Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2001.114588"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1997.tb00025.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(65)90659-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9098(199903)70:3<172::AID-JSO5>3.0.CO;2-I"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(93)70112-7"},{"key":"e_1_2_7_7_1","first-page":"519","article-title":"Gorlin syndrome associated with basal cell carcinoma of the vulva: a case report","volume":"27","author":"Giuliani M","year":"2006","journal-title":"Eur J Gynaecol Oncol"},{"key":"e_1_2_7_8_1","first-page":"592","article-title":"Concurrent Paget's disease and basal cell carcinoma of the vulva; 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