Manga SM, DeMarco RF, Manjuh F, Sando Z, Welty ER (2018) Vulvar Neoplasia in Cameroon, West Africa: Diagnostic Challenges. Obstet Gynecol Cases Rev 5:135.


© 2018 Manga SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2377-9004/1410135

Vulvar Neoplasia in Cameroon, West Africa: Diagnostic Challenges

Simon M Manga1,2*, Rosanna F DeMarco1, Florence Manjuh2, Zacharie Sando3,4 and Edith R Welty2

1College of Nursing and Health Sciences, University of Massachusetts Boston, USA

2Cameroon Baptist Convention Health Services, Cameroon

3Gyneco-Obstetric and Pediatric Hospital Yaoundé, Cameroon

4Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon


Disorders of the vulva have characteristically received less attention than disorders of the cervix and other reproductive organs. There are a number of challenges in diagnosing vulvar neoplasia (pre-invasive and invasive vulvar disease) in Cameroon and other low- and middle-income countries (LMICs). This is primarily because the early signs and symptoms of vulvar neoplasia are non-specific and are predominantly characterized by pruritus vulvae, which can easily be mistaken for vulvar candidiasis. This leads to delay in getting appropriate treatment, with associated suffering, increased expenditure, progression of the disease, and poor prognosis.

This paper presents four case studies of women with vulvar neoplasia diagnosed by the Women's Health Program of the Cameroon Baptist Convention Health Services, a large faith-based health organization in Cameroon. These case reports demonstrate the challenges in diagnosing vulvar neoplasia in LMICs and highlight the importance of thoroughly evaluating vulvar symptoms and signs, such as pruritus, hypopigmentation, and leukoplakia with histopathology.