Anal lichen planus
AIM: We present a case of squamous-cell carcinoma developing within perianal lichen planus. Neoplastic degeneration of cutaneous lichen planus is rare; only one case of squamous-cell carcinoma developing within perianal lichen planus has been described up until now in the international literature. CASE REPORT: Our case involved a year-old woman with chronic, long-term lichen planus spreading all over the vulva and perianal region and the mucosa of the anal canal, where squamous-cell carcinoma developed within the perianal lichen planus. Treatment consisted of wide, circular excision of the perianal skin and mucosectomy of the anal canal up to as far as 1 cm above the dentate line. Reconstruction was performed by means of two V-Y bilateral subcutaneous flaps. Follow-up at one year after surgery showed no local recurrence of either lichen planus or squamous-cell carcinoma, which suggests that surgical removal should be the therapy of choice for long-term, chronic perianal lichen planus that has proved to be resistant to medical therapy.
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DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Erosive lichen planus is a chronic and painful condition affecting mucosal surfaces, mainly the mouth oral lichen planus and the genitals vulval or penile lichen planus. A severe variant or erosive lichen planus in women is known as the vulvovaginal gingival syndrome. Ulceration occurs in the mouth and gums as well as on the vulva and in the vagina. Peno-gingival syndrome is the equivalent condition in men. Erosive lichen planus is sometimes associated with classical cutaneous lichen planus or other forms of mucosal lichen planus.
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Lichen planus is a type of rash that forms on your skin, on genitalia , or in your mouth. It is marked by purple bumps that are flat and uneven in size. The bumps may have white scales or flakes on them. Often, the rash is itchy. Lichen planus commonly occurs on your wrists, ankles, and chest.
Lichen sclerosus LIE-kun skluh-ROW-sus is an uncommon condition that creates patchy, white skin that appears thinner than normal. It usually affects the genital and anal areas. Your doctor can suggest treatment with creams or ointments that help return a more normal appearance to your skin and decrease the tendency for scarring. The condition does tend to recur, so long-term follow-up care may be needed. Rarely, lichen sclerosus improves without treatment.