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.

Vulvar intraepithelial neoplasia (VIN), eroded variant

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.