Carcinoma of the Vulva in Jamaican Women

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Abstract
Clinical and pathological analysis of vulvar carcinoma in 119 Jamaican women, treated at the University Hospital of the West Indies, over the past 18 years stresses that the tumor was more frequently seen in women under the age of 50—contrary to the experience of authors from the Western metropolitan countries. The natural history of the tumor showed that in 51% of cases, vulvar carcinoma co-existed or followed previous chronic vulvar granulomatous disease and showed a rapid tumor progression in these post-granulomatous cases. Features of other epidemiological and clinical importance are discussed. Special reference has been made concerning the problem of applying FIGO staging of vulvar carcinoma.