Thin in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#396
SMLE Question #396
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 63-year-old postmenopausal woman has a 5-year history of biopsy-proven vulvar lichen sclerosus and attends routine follow-up. She reports chronic pruritus with thin, white, parchment-like vulvar skin. She denies new lesions, bleeding, or ulceration. She is counselled that long-standing disease increases the risk of vulvar malignancy and requires regular examination with biopsy of any suspicious change. Which type of cancer is she at greatest risk of developing?
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