Clinical and Dermoscopic Features of Vulvar Melanosis Over the Last 20 Years

Abstract

To evaluate the clinical and dermoscopic features of vulvar melanosis and their changes over time. DESIGN, SETTING, AND PARTICIPANTSIn this cohort study, patients with vulvar melanosis were recruited and followed up in the

Vulvar Neoplasms (Part II)

“…1 Vulvar melanosis accounts for most pigmented vulvar lesions. 21 While vulvar melanosis can develop in any patient, it is more commonly seen arising in the setting of longstanding LS. Additionally, a hormonal role has been implicated in the development of vulvar melanosis.…”

“…Additionally, a hormonal role has been implicated in the development of vulvar melanosis. 21 Diagnosis is often made clinically but if any atypical features are identified, a biopsy should be performed as melanoma is a consideration in the clinical differential. Vulvar melanosis is a benign condition and no treatment is indicated.…”

“…Vulvar melanosis is a benign condition and no treatment is indicated. 21 Studies have shown that over time these lesions do not undergo malignant transformation and patients can be reassured. 21…”

“…21 Studies have shown that over time these lesions do not undergo malignant transformation and patients can be reassured. 21…”

Clinical Clues to Avoid Missing Melanoma When Morphology Is Not Enough

“…The most frequent benign pigmented lesion in this location is mucosal melanosis that is usually observed as a clinically flat lesion with dermoscopic parallel lines [19]. Conversely, melanoma is most frequently appearing as a palpable lesion, dermoscopically typified by a structureless pigmentation varying from blue to white and red [20].…”