“…but one woman was diagnosed with the disease in pregnancy. The location of primary SS in these reports is varied, with five being pulmonary, 4,8-11 three renal, [12][13][14] two head/ neck, 15,16 one abdominal wall, 17 two involving lower extremities 3,5 , and one vulvar. 18 The vulvar SS is the only published case of pre-pregnancy diagnosis, where the woman was diagnosed and treated with surgery, brachytherapy, and external beam pelvic radiation, 2 years prior to conception.…”