Concurrent diagnosis of vulvar angiokeratoma with recurrent squamous cell carcinoma after radical vulvectomy and radiation therapy.

► Vulvar angiokeratomas are rare, benign vascular tumors with varying presentations. ► Biopsy-proven diagnosis is important in evaluating suspicious vulvar lesions. ► Increased venous pressure may predispose patients to angiokeratomas.

Who's liable for breast cancer prevention? Your patient can sue--and win--if preventive options aren't made clear.

Strategies to reduce the likelihood of breast cancer in high-risk patients present complex medical-legal issues. An accurate and thorough medical history, objective calculation of risk, thorough discussion of preventive options and side effects, meticulous documentation of physician-patient interactions, and meticulous follow-up are essential. These elements form the foundation of a sound approach to breast cancer prevention in high-risk patients and should reduce physician liability if cancer occurs.