Abstract
Seborrheic keratoses, a benign growth lesion, is a very common cutaneous lesion encountered in white races in the fourth and fifth decade. The occurrence of this lesion on the vulva is rare, as an isolated lesion or in association with lesions elsewhere. A 34-year-old woman reported with a hyperpigmented palpable lesion, approximately 5-10 mm in diameter, was found on the patient's left labium majus. The clinical differential diagnosis of the pigmented lesions of the vulva is difficult often need a biopsy.
Highlights
Seborrheic keratoses (SK) are common benign pigmented lesions on the light-exposed skin in white races, generally believed to be readily identifiable clinically, but in some cases, the differential diagnosis between pigmented SK, malignant melanoma and genital wart is difficult, in particular in the vulva [1,2].Case presentation A 34-year-old woman referred to the gynecology clinic with a complain about vulvar irritation due to a pigmented vulvar lesion
The patient was diagnosed with seborrheic keratoses of the vulva and cryotherapy was performed
Dermoscopy could not be performed in our patient owing to the fact of these difficulties in this particular site and that the patient was first refered to gynecology department and the biopsy was already taken
Summary
Seborrheic keratoses (SK) are common benign pigmented lesions on the light-exposed skin in white races, generally believed to be readily identifiable clinically, but in some cases, the differential diagnosis between pigmented SK, malignant melanoma and genital wart is difficult, in particular in the vulva [1,2]. Case presentation A 34-year-old woman referred to the gynecology clinic with a complain about vulvar irritation due to a pigmented vulvar lesion. The patient reported that it had been present for approximately 1 year. A hyperpigmented irregular palpable lesion, approximately 5-10 mm in diameter, was found on the patient’s left labium majus (Figure 1). The initial clinical diagnosis was that of a genital wart but the lesion was suspicious a punch biopsy was performed. The patient was diagnosed with seborrheic keratoses of the vulva and cryotherapy was performed. The lesion disappeared from sight on control examination on 4 week later
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