Lichen sclerosus of the vulva recurrent after myocutaneous graft. A case report.

A woman with stage I squamous carcinoma of the vulva associated with diffuse lichen sclerosus was treated with radical vulvectomy plus inguinofemoral and pelvic lymphadenectomy. This procedure was followed by vulvar reconstruction using bilateral gracilis myocutaneous grafts. Two years later the previously normal grafted skin had developed lichen sclerosus. This occurrence is unique and completely unexpected in view of the graft technique, which preserves the original blood supply and deep dermal tissues.