Vulvar basal cell carcinoma is rare, accounting for less than 5% of vu
lvar neoplasms. There is great variation in the clinical appearance of
this neoplasm, which occurs most commonly in older women. Metastasis
seldom occurs, but the tumor may extend deeply into local tissues. We
report the first case of bilateral vulvar basal cell carcinomata in a
66-year-old woman who had received radiotherapy for urethral carcinoma
35 years earlier. Both tumors were treated with Mohs micrographic sur
gery and have not recurred after 13 years.