Vulvar melanosis is black and/or various shades of brown, whereas the combination of red, blue, or gray colors in the lesion should be viewed with suspicion and necessitate a biopsy. By the end of the 1970s, pelvic lymphadenectomy was abandoned for the most part. painful urination. No malignant evolution was documented in any patient during a median follow-up of 13 years (range, 5-20 years). I have my gynecologist look at it during my yearly exams, and she has always said it looks fine. If cancer is found, youll undergo other tests to find out if the cancer has spread to other areas of the vulva or your body. Lesions such as moles and frecklesreferred to as. Melanoma that has spread to lymph nodes or internal organs requires additional treatment to destroy the cancer cells. V, Massi A, Simionescu A and B, The presence of very similar pigmented lesions makes it difficult to diagnose atypical melanocytic lesion (A) or melanosis (B) with the naked eye. Always consult your doctor about the risk conditions. An incisional biopsy site was chosen based on the most clinically significant areas. RL, Albert Some tests are repeated to see how well treatment is working and determine if changes need to be made. If it is cancer-free, no other lymph nodes need to be removed . Im concerned about the shape/border as well. Once a biopsy has been performed on a lesion and a histopathological diagnosis has been made, strong consideration should be given to the possibility of consultation with a board-certified dermatopathologist, a pathologist witha special expertise with pathology of the skin. Both the clinical and dermoscopic features of all of the lesions were photographed using a high-resolution compact digital camera (Olympus Digital model No. Vaginal cancer - Symptoms and causes - Mayo Clinic Scattered melanophages are observed in the superficial dermis (hematoxylin-eosin, original magnification 20). We now understand that there is no exact cause for vulva melanosis and therefore, we just presume the risk factors. Introduction. Dermoscopically, these colors correspond to superficial structures, which correspond to the histopathologic condition of melanosis that is characterized by hyperpigmentation of basal keratinocytes. These structures and patterns represent dermoscopic features of thick cutaneous melanomas (such as a Breslow depth 1 mm).16 Therefore, in a pigmented vulvar lesion, the presence of black and/or brown colors with a homogenous or nonhomogeneous arrangement and without red, gray, or blue colors and/or without typical dermoscopic parameters for melanocytic lesions allows for a diagnosis of vulvar melanosis with good diagnostic accuracy (Table 2).
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