Angiodysplasia. 44-year-old female patient. Monoorganic, solitary, vascular malformation with very low tendency of growth for about 3-4 years. Blurred, reddish-livid, soft swelling as a consequence of a vascular proliferation limited to the dysplasia area. Bizarrely configured vascular dilatations in the vicinity of the soft tissue swelling.
Squamous cell carcinoma of the skin (vulva carcinoma): chronically active, ulcerated plaque on the inside of the left labia majora of a 65-year-old woman, which has been growing for about 8 months and is about 1 cm in size. Origination on the basis of a lichen sclerosus et atrophicus known for many years. Extensive atrophic areas in the vulva area up to the perineal region.
Squamous cell carcinoma of the skin, detail enlargement: since approx. 8 months increasingly growing, approx. 1 cm large, ulcerated plaque on the inner side of the left labia majora as well as extensive, whitish, atrophic plaques in the vulva area.
Squamous cell carcinoma of the skin: painless, flat, ulcerated, weeping, plate-like ulcer of coarse consistency and with a lip-like wall at the edge of the ulcer which has been present for > 1 year. The coarse-callous edge is indicative of malignant neoplasia.
Squamous cell carcinoma of the skin: ulcerated, temporarily painful and burning, erosive plaque on lichen sclerosus et atrophicus, which has been present for years (still clinically detectable).
Lichen sclerosus et atrophicus. hourglass phenomenon with classic whitish-porcelain-like skin on perigenital region, labia and in a smaller extent also in the area of the perianal region in a 7-year-old girl. for several weeks genital itching has been present occasionally. the labia have already elapsed in the lower parts. currently no rhagades are visible. long patient career despite childhood age.
Lichen sclerosus et atrophicus. pinhead-sized, in places confluent, whitish shining papules. complete atrophy of the labia minora. associations with autoimmune diseases like vitiligo, alopecia areata or thyroid diseases are possible.
Lichen sclerosus et atrophicus. extensive extragenital 'infestation with typical "leathery" changes of the skin surface due to a distinct orthohyperkeratosis in the fallen areas. the areas are brightly discolored due to orhtohyperkeratosis and the underlying "edema zone". thus the natural color of the area is lost.
Lichen sclerosus et atrophicus: in addition to the still detectable changes of the lichen sclerosus, blurred, flat, erosive, red, solid plaque on the posterior commissure with spreading to the perineum. Histological evidence of a spinocellular carcinoma.
Lentigo of the mucosa: for 10 years persistent, irregular, blurred, band-shaped, almost circumferential, brown-black spots on the inner side of the labia in a 59-year-old female patient
Lentigo of the mucosa: for 10 years persistent, irregular, blurred, brown-black spots in the area of the inner side of the labia in a 59-year-old female patient
Lentigo of the mucous membrane. 10 years of persistent, irregular, blurred, brown-black macular in the area of the inner side of the labia in a 59-year-old female patient.
Paget, M., extramammary. general view: Persistent, sharply defined, large-area, macerated, focal ulcerated, livid-reddish, non-pruritic, infiltrated erythema of vulva, perineum and perianal region of a 90-year-old female patient.
Paget, M., extramammary. detail magnification: Sharply defined, large-area, eroded, macerated, focal ulcerated, livid-reddish, non-itching, non-painful infiltrated erythema of vulva, perineum and perianal region of a 90-year-old female patient.
Psoriasis intertriginosa. solitary, chronically stationary, large, sharply edged, especially after sweating itching, homogeneous, red, rough, scaly plaque. further, similar skin changes on elbows and knees. up to now extreme resistance to therapy.
Behçet, M.. Very painful, recurrent aphthous lesion in the region of the large labia, in the present case associated with oral aphthae, arthritides and other general findings.
Behçet, M.. Since 14 days persistent, approx. 1.8 x 0.8 cm large, aphthous, whitish, smearily covered, strongly painful ulcer on the right labia of a 42-year-old woman.
For 21 days persistent, 2 ca. 0.5 cm large, aphthous, whitish, smearily covered, strongly painful ulcers on the right large labia in a 42-year-old Ethiopian woman.
Vulvitis chronica circumscripta plamacellularis: Chronic, painful, deep red inflammation of the labia minora, urinary incontinence, malignancy can be excluded, but due to the symmetrical "imitation"-like distribution, it is clinically unlikely.
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