{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:16:56Z","timestamp":1791231416241,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T00:00:00Z","timestamp":1610928000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2021,1,18]]},"abstract":"<jats:p>Vulvar cancer accounts for about 5% of cancer of female genitalia. It may initially present as benign symptoms resulting in potential delay in diagnosis. Few cases of distant metastases to skin or breast have been reported. We present the case of a 76-year-old female with possible delay in diagnosis of her squamous cell carcinoma of vulva. After 4 months of the diagnosis, she presented with concurrent cutaneous and breast metastases.<\/jats:p>","DOI":"10.1155\/2021\/8241815","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T01:05:22Z","timestamp":1611104722000},"page":"1-3","source":"Crossref","is-referenced-by-count":5,"title":["Vulvar Cancer with Cutaneous and Breast Metastases"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9947-0202","authenticated-orcid":true,"given":"Nawaraj","family":"Adhikari","sequence":"first","affiliation":[{"name":"Department of Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adarsh","family":"Vennepureddy","sequence":"additional","affiliation":[{"name":"Department of Haematology\/Oncology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Parylo","sequence":"additional","affiliation":[{"name":"Department of Haematology\/Oncology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupma","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meekoo","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Haematology\/Oncology, Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21590"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2018.09.008"},{"key":"3","first-page":"74","article-title":"Evaluation of symptoms and prevention of cancer in menopause: the value of vulvar exam","volume":"15","author":"A. 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