PMC5816857_01
A localized and well-demarcated lesion on the labia minora.
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Physical examination revealed a hyperpigmented and erosive lesion, approximately 2 cm in diameter, centrally localized in the vulva (Figure 1).
Vulvar excision and groin incision. (a) Vulvar defect after radical local excision. (b) Sentinel lymph node in the right inguinal region.
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Vulvar radical local excision and bilateral inguinal sentinel lymph node biopsies (using methylene blue dye) were performed (Figure 2).
HE x100. Nests of neoplastic squamous epithelium with keratinization.
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The pathology report was similar to the excisional biopsy report with a clear surgical margin (Figure 3).
Surgical site recovery 12 months after surgery.
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Follow-up after 12 months of the surgery showed no evidence of disease (Figure 4).