Early stage vulvar scc should be excised with macroscopic tumourfree. Backgroundvulvar melanosis is a benign pigmented lesion that may clinically mimic melanoma. It is a benign pigmented lesion that usually occurs on the labia minora, sometimes on the labia majora, perineum, introitus, vagina, and cervix. Vulvar melanosis vm, also called genital melanosis or vulvar melanotic macule, is a condition that many multiple flat asymmetrical macules which characterized by a tanbrown to blueblack color, irregular borders, and variable size. Vulvar melanosis is a skin condition that is not infectious and s cannot spread from one person to another during sex, you should not panic about that. Vulvar melanotic macules are observed on or around the vulva in girls or women. Ringlike pattern as a dermatoscopy sign for vulvar melanosis does. This book offers comprehensive information on modern approaches to vulvar lesions, taking into account recent.
Primary malignant melanoma of the vulva an aggressive tumor for. Pigmented vulvar lesions are estimated to occur in 1012% of the. In a recent study, vulvar melanosis occurred more frequently on labia majora as. Dermoscopic and clinical features of pigmented skin. Nature is making sarscov2 and covid19 research free. Herein, the most common benign, premalignant, and malignant vulvar skin tumours. Mucosal melanosis, of which genital and specifically vaginal melanosis is a type, is a benign lesion. Benign vulvar melanosis melanotic macule or genital lentigo consists of a brown discoloration and is generally asymptomatic fig. Vulvar melanosis is characterized by prominent brown to. Melanosis, human papillomavirus, vaginal pathology. Vulvar melanosis is the most frequent lesion among these. Vulvar nevi, melanosis, and melanoma represent pigmented vulvar lesions that are often difficult to diagnose. Genital melanosis, also known as vulvar lentiginosis and vulvar melanotic macules, is a benign lesion characterized by macular pigmentation that can involve cutaneous or mucosal sites. Primary vaginal melanoma in the setting of mucosal.
It can be found in a variety of vulvar locations including the periurethral area 22. Circular excision of hemangioma and pursestring closure. Clinicians update on the benign, premalignant, and malignant skin. Vulvar melanosis, also referred to as vulvar lentiginosis and vulvar melanotic macules, represents approximately 68% of pigmented vulvar lesions in reproductiveaged women. The ringlike pigmentation showed features of vulvar melanosis fig. Vulvar melanosis follows a benign course and the risk of malignant. The structureless and parallel patterns have been described as the most frequent dermoscopic findings of melanosis with a vulvar location.
Table 2 outlines the symptoms, clinical appearance, differential diagnosis, and therapy of melanosis. Lichen sclerosus, lichen planus, lichen simplex chronicus, melanosis and melanoma. Pdf table of contents submit international scholarly research notices 2017 article. However, another patient aged 75 who attended the vulvar clinic but not included in this melanosis study, was found to have coexisting melanosis well away from her melanoma in situ and ma lignant melanoma at presentation in 1977.
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