Verrucous carcinoma of the Vulva is a rare 1 lesion affecting essentially postmenopausal women. The lesion is distinct and particular entity in vulval carcinoma classification and scalability is uncertain and unpredictable. Here, we present a 40 year old patient, who presented with a vulval mass of about 20 years duration that increased gradually in size. Patient is a known HIV positive patient on HAARTS that had multidisciplinary management and surgical excision. She has done well and is currently on follow-up.
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