An year-old woman presented with an ulcerated lesion on the vulva. It was very itchy, but not painful, and had been present for over one year with no significant change to the lesion or surrounding skin. There was no discharge from the lesion, and the patient did not report fever. She had not been sexually active for more than 15 years before the lesion appeared, and had only one partner before that. She had no relevant medical history. Based on the patient's history and physical examination, which one of the following is the most likely diagnosis?
Female Genital Sores: Pictures, Causes, and Diagnosis
Vulvar cancer, or vulval cancer, is a relatively rare type of cancer that affects the vulva, the external genital organs that protect a woman's reproductive system. It is most likely to appear in the outer vaginal lips. Typical symptoms include a lump, itching, and bleeding. Vulvar cancer accounts for around 0. The American Cancer Society predict that in there will be about 6, diagnoses of vulvar cancers in the United States, and that 1, women will die of vulvar cancer. The vulva includes the labia majora, mons pubis, labia minora, clitoris, the vestibule of the vagina, the bulb of the vestibule, greater and lesser vestibular glands, and vaginal orifice. Cancer that originates in the vulva is called primary vulvar cancer.
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.