PMC4427817_01
Photograph of the lesion prior to surgery.
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fig1
Examination of the vulva revealed normal hair distribution for age, a hypertrophic vulva, and the presence of a hardened, ulcerated, purplish lesion measuring 4 cm in diameter, with hyperchromic and hypochromic spots, situated on the lower third of the right labium majus, close to the vaginal fourchette (Figure 1).
Photograph taken during surgery showing resection margins.
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fig2
Right hemivulvectomy was performed with wide margins all around (Figures 2 and 3).
View of the completed surgical procedure.
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fig3
Right hemivulvectomy was performed with wide margins all around (Figures 2 and 3).
HE, 100x, Paget cells with clear cytoplasm inside the epidermis.
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fig4
The surgical margins were free (Figures 4 and 5).
HE, 400x, Paget cells in the basal layer, some with melanic pigment.
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fig5
The surgical margins were free (Figures 4 and 5).