Vulvar angiokeratoma following radical hysterectomy and radiotherapy

Angiokeratomas of the vulva are rare, benign tumors that present mostly on the labia majora. This is the first case report presenting a patient with this type of neoplasia, after radical hysterectomy and radiotherapy. Possible mechanisms for its pathogenesis could be increased venous pressure resulting from a hysterectomy or the loss of elastic tissue around the vessels from radiation, resulting in the formation of telangiectasias. Angiokeratomas should be included in the differential diagnosis of vulvar tumors in all women who have been treated for a lower genital tract malignancy.