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. Herein we present the clinical and dermoscopic characteristics of...

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Autores principales: Fernanda S. Resende, Claudio Conforti, Roberta Giuffrida, Mayara Hamilko de Barros, Iris Zalaudek
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Lenguaje:EN
Publicado: Mattioli1885 2018
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Acceso en línea:https://doaj.org/article/6083ae2889cf4817b8a64736a76c6023
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spelling oai:doaj.org-article:6083ae2889cf4817b8a64736a76c60232021-11-17T08:30:13ZRaised vulvar lesions: be aware!10.5826/dpc.0802a162160-9381https://doaj.org/article/6083ae2889cf4817b8a64736a76c60232018-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/419https://doaj.org/toc/2160-9381 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. Herein we present the clinical and dermoscopic characteristics of a hypopigmented and heavily pigmented nodule in a 92-year-old and an 80-year-old woman. Dermoscopy in the former revealed structureless milky-red to white areas, remnants of brown pigmentation at the base and polymorphic vessels, while the latter displayed structureless blue-gray areas with black dots and peripheral lines at the base. In both cases, histopathology revealed a stage III melanoma. Our two cases along with a review of the literature suggest that the dermoscopic features described for diagnosing cutaneous nodular melanoma, apply also for vulvar melanoma. Clinicians should always raise the suspicion if observing plaques or nodules with a dermoscopic polymorphic vascular pattern and blue-black color on the genitals of postmenopausal women. Fernanda S. ResendeClaudio ConfortiRoberta GiuffridaMayara Hamilko de BarrosIris ZalaudekMattioli1885articlevulvar melanomamelanomapigmented lesiondermoscopyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 8, Iss 1 (2018)
institution DOAJ
collection DOAJ
language EN
topic vulvar melanoma
melanoma
pigmented lesion
dermoscopy
Dermatology
RL1-803
spellingShingle vulvar melanoma
melanoma
pigmented lesion
dermoscopy
Dermatology
RL1-803
Fernanda S. Resende
Claudio Conforti
Roberta Giuffrida
Mayara Hamilko de Barros
Iris Zalaudek
Raised vulvar lesions: be aware!
description 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. Herein we present the clinical and dermoscopic characteristics of a hypopigmented and heavily pigmented nodule in a 92-year-old and an 80-year-old woman. Dermoscopy in the former revealed structureless milky-red to white areas, remnants of brown pigmentation at the base and polymorphic vessels, while the latter displayed structureless blue-gray areas with black dots and peripheral lines at the base. In both cases, histopathology revealed a stage III melanoma. Our two cases along with a review of the literature suggest that the dermoscopic features described for diagnosing cutaneous nodular melanoma, apply also for vulvar melanoma. Clinicians should always raise the suspicion if observing plaques or nodules with a dermoscopic polymorphic vascular pattern and blue-black color on the genitals of postmenopausal women.
format article
author Fernanda S. Resende
Claudio Conforti
Roberta Giuffrida
Mayara Hamilko de Barros
Iris Zalaudek
author_facet Fernanda S. Resende
Claudio Conforti
Roberta Giuffrida
Mayara Hamilko de Barros
Iris Zalaudek
author_sort Fernanda S. Resende
title Raised vulvar lesions: be aware!
title_short Raised vulvar lesions: be aware!
title_full Raised vulvar lesions: be aware!
title_fullStr Raised vulvar lesions: be aware!
title_full_unstemmed Raised vulvar lesions: be aware!
title_sort raised vulvar lesions: be aware!
publisher Mattioli1885
publishDate 2018
url https://doaj.org/article/6083ae2889cf4817b8a64736a76c6023
work_keys_str_mv AT fernandasresende raisedvulvarlesionsbeaware
AT claudioconforti raisedvulvarlesionsbeaware
AT robertagiuffrida raisedvulvarlesionsbeaware
AT mayarahamilkodebarros raisedvulvarlesionsbeaware
AT iriszalaudek raisedvulvarlesionsbeaware
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