Warty-surfaced, hyperpigmented papule on the right labium major showing the “stuck-on” appearance of a seborrheic keratosis.

Ulcerated malignant melanoma of the vulvar trigone and inner labium minor. (Courtesy Dr. A. Covens.)

Melanoma

Pigmented compound nevus on the edge of the vulva in a 4 year old.

Giant pigmented nevus of the vulva, thighs, and buttocks in a baby with an eroded diaper rash.

Suprapubic dysplastic nevus with an irregular shape, reddish hue to the edges, and indistinct margins.

Multiple acneiform papules and nodules of hidradenitis suppurativa.

Hidradenoma Papilliferum. An asymptomatic, skincolored papule on the inner labium major.

Dark Colored Warts

Solid plaque of condylomata along labia minora edges and in linear thin plaques in the labiocrural folds.

Multiple condylomata in the perineum and perianal area.

Solitary condyloma just below the posterior commissure.

Multiple angio keratomata with a diffuse telangiectatic background on the body and vulva of a 5 year old with mental retardation resulting from fucosidosis.

Purple, vascular papules on left labium major.

Ulcerated malignant melanoma of the vulvar trigone and inner labium minor. (Courtesy Dr. A. Covens.)

Melanoma

Dark Colored Warts

Solid plaque of condylomata along labia minora edges and in linear thin plaques in the labiocrural folds.

Multiple condylomata in the perineum and perianal area.

Solitary condyloma just below the posterior commissure.

Multiple acneiform papules and nodules of hidradenitis suppurativa.

Multiple angio keratomata with a diffuse telangiectatic background on the body and vulva of a 5 year old with mental retardation resulting from fucosidosis.

Purple, vascular papules on left labium major.

Pigmented compound nevus on the edge of the vulva in a 4 year old.

Giant pigmented nevus of the vulva, thighs, and buttocks in a baby with an eroded diaper rash.

Suprapubic dysplastic nevus with an irregular shape, reddish hue to the edges, and indistinct margins.

Warty-surfaced, hyperpigmented papule on the right labium major showing the “stuck-on” appearance of a seborrheic keratosis.

Hidradenoma Papilliferum. An asymptomatic, skincolored papule on the inner labium major.

Post-inflammatory hyperpigmentation of right interlabial sulcus and labium major with some hypopigmentation in lichen simplex chronicus. (Courtesy Dr. L. Edwards.)

Post-Inflammatory Hyperpigmentation

Ulcerated malignant melanoma of the vulvar trigone and inner labium minor. (Courtesy Dr. A. Covens.)

Melanoma

Melanoma

Pigmented compound nevus on the edge of the vulva in a 4 year old.

Giant pigmented nevus of the vulva, thighs, and buttocks in a baby with an eroded diaper rash.

Suprapubic dysplastic nevus with an irregular shape, reddish hue to the edges, and indistinct margins.

Scattered lentigines on the vulva of a normal child.

Irregular pigmented macules in benign vulvar melanosis.

Ulcerated, irregularly outlined, itchy bleeding lesion in a 55-year old woman. The diagnosis of basal cell carcinoma is made on biopsy.

Asymptomatic, firm, cystic, slightly pigmented papule on labium major. This basal cell carcinoma in a 60 year old was found on routine pelvic exam.

Velvety patches of hyperpigmented hyperkeratosis in the left inguinal crease in early acanthosis nigricans. This 16-year-old woman has extensive hirsutism and acanthosis nigricans in the HAIR-AN syndrome.

Pigmented compound nevus on the edge of the vulva in a 4 year old.

Giant pigmented nevus of the vulva, thighs, and buttocks in a baby with an eroded diaper rash.

Suprapubic dysplastic nevus with an irregular shape, reddish hue to the edges, and indistinct margins.

Velvety patches of hyperpigmented hyperkeratosis in the left inguinal crease in early acanthosis nigricans. This 16-year-old woman has extensive hirsutism and acanthosis nigricans in the HAIR-AN syndrome.

Scattered lentigines on the vulva of a normal child.

Irregular pigmented macules in benign vulvar melanosis.

Ulcerated, irregularly outlined, itchy bleeding lesion in a 55-year old woman. The diagnosis of basal cell carcinoma is made on biopsy.

Asymptomatic, firm, cystic, slightly pigmented papule on labium major. This basal cell carcinoma in a 60 year old was found on routine pelvic exam.

Post-inflammatory hyperpigmentation of right interlabial sulcus and labium major with some hypopigmentation in lichen simplex chronicus. (Courtesy Dr. L. Edwards.)

Post-Inflammatory Hyperpigmentation

Ulcerated malignant melanoma of the vulvar trigone and inner labium minor. (Courtesy Dr. A. Covens.)

Melanoma

Melanoma

Varicose veins of the right labium major several weeks postpartum.

Tattoo of the vulva: outline is in black and the mons pubis and labia are colored red.

Tattoo of the vulva: outline is in black and the mons pubis and labia are colored red.

Varicose veins of the right labium major several weeks postpartum.