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