Seonhwa Jeong

Second Spring Women's Clinic, South Korea

Early-Onset Vulvar Basal Cell Carcinoma in a 48-Year-Old Woman: A Case Report

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Biography

Seonhwa Jeong is an obstetrician-gynecologist and the medical director of Second Spring Women’s Clinic in Seoul, Korea. She is also the co-CEO of Arcadian, a FemTech company dedicated to women’s health. Her main activities include clinical practice, patient education, and developing integrative approaches to women’s wellness. Her academic and professional interests focus on menopause management, adolescent reproductive health, sexual health education, and the advancement of sustainable health products and digital health solutions.

Abstract

Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer, but vulvar involvement is exceedingly rare, accounting for less than 1% of all BCCs and 2–4% of vulvar malignancies. Most cases are reported in elderly postmenopausal women. We present the case of a 48-year-old woman with a 1.5 cm lesion on the vulva. The lesion was initially suspected to be benign, but histopathological examination after biopsy confirmed the diagnosis of basal cell carcinoma. The patient underwent wide local excision with tumor-free margins. The postoperative course was uneventful, and no recurrence was observed during follow-up. Although vulvar BCC usually occurs in elderly women, it may also present in relatively younger patients. Clinicians should consider malignancy in the differential diagnosis of persistent vulvar lesions and perform early biopsy for timely diagnosis and management.