Philip J. There is no good evidence that women with lichen sclerosus face a higher risk for vulvar carcinoma. Hallmark of vestibulitis: Severe pain on touch, with tenderness localized within the vestibule in a horseshoe pattern. A year-old widow who recently remarried complains of dyspareunia. Examination of the vulva reveals firm but thin white skin over the periclitoral area and labia minora and shrinking of the vulvar skin. Lichen sclerosus is the probable diagnosis, given her age and the appearance of the vulva, although it is impossible to assure the diagnosis without a biopsy.
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Recognizing Neoplastic Skin Lesions: A Photo Guide
Noninvasive vulvar lesions: An illustrated guide to diagnosis and treatment | MDedge ObGyn
ROSE, M. Patient information: See related handout on skin cancer , written by the author of this article. Malignant lesions of the skin are common. Patients who develop squamous cell carcinoma and malignant melanoma often have recognizable precursor conditions. A few skin lesions resemble malignancies.
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Raised vulvar lesions: be aware!
Vulvar melanoma is a rare and deadly cancer in women, and the prognosis is often poor. There are limited studies on the dermoscopic features of vulvar melanoma. Described criteria include the presence of blue, gray, or white colors.