PMC3326847_01
Large polypoidal growth measuring around 10 x 6 cm involving the vulva including bilateral labia majora, clitoris, labia minora, and anterior fourchette
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F1
On local genital examination, there was a large tender polypoidal growth measuring around 10 x 6 cm involving both sides of the vulva including bilateral labia majora, clitoris, labia minora, and anterior fourchette with clear, foul smelling discharge in a few areas [Figure 1].
A few grouped papules of similar morphology over the left upper thigh
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F2
There were few grouped papules of similar morphology over the left upper thigh and over pubic area [Figure 2].
Thin-walled, ectatic lymphatic channels in the superficial dermis. The dermal papillae and the dermis showed proliferating, congested capillary sized blood vessels, melanophages, and diffuse as well as perivascular mixed infl ammatory infi ltrate (H and E stain, magnifi cation 10 x 10)
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F3
The dermal papillae and the dermis showed proliferating, congested capillary sized blood vessels, melanophages, and diffuse as well as perivascular mixed inflammatory infiltrate [Figure 3].