case_images: PMC10758864_01
case_images: Initial tumor clinical aspect.. Primary aspect of the tumor as a pink induration of the left labia major skin, with focal ulceration and whitish deposit. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
case_images: gr1.jpg
case_images: PMC10758864_01_gr1.jpg
case_images: f0005
case_images: The case study reports a 40-year-old nulliparous female who first presented to our institution with a sore and ulcerated induration of the left labia major skin, with whitish deposit and focal lymphoedema (Fig. 1).
case_images: MR image of the superficial tumor recurrence.. MR images show a focal well delimitated nodule located in the left labia majora, with a low signal on the T2 weighted-image (A and B), a spontaneous high signal on T1 fat sat weighted sequence (C), and a homogenous enhancement after contrast injection (D).
case_images: gr2.jpg
case_images: PMC10758864_01_gr2.jpg
case_images: f0010
case_images: On the MRI and thoraco-abdominopelvic CT at 3 months, an 8 mm mass was suspicious of local recurrence (low signal on the T2 weighted-image, spontaneous high signal on T1 fat sat weighted sequence, and homogenous enhancement after contrast injection) (Fig. 2, Fig. 3).
case_images: Magnetic seed implantation under ultrasound guidance.. After a local disinfection and anesthesia, the magnetic seed (black arrow) was implanted next to the tumoral lesion (white arrows) using a 14G sterile needle (arrowhead), under ultrasound guidance. Neither immediate nor delayed complications occurred.
case_images: gr4.jpg
case_images: PMC10758864_01_gr4.jpg
case_images: f0020
case_images: A magnetic seed was inserted under ultrasound guidance (Fig. 4).
case_images: Surgical specimen removed, with the magnetic seed inside.. Macroscopically, the tumor was revealed after sections of the removed specimen and appeared as a whitish and indurated lesion.
case_images: gr5.jpg
case_images: PMC10758864_01_gr5.jpg
case_images: f0025
case_images: Guided by auditory and visual guidance systems provided by the wireless device, we were able to carry out a minimal resection with healthy margins on heavily remodeled tissue (Fig. 5).