Unknown lesion on the vulva

Does it look like any of these?

Bartholin150.jpg (11750 bytes)

A Bartholin cyst is a painless swelling on one side.

barthab150.jpg (8820 bytes)

A Bartholin abscess is very tender, unilateral, with swelling and redness.

1syph150.jpg (15817 bytes)

Primary syphilis is a painless, wet ulcer with swelling around it.

2syphd_small.jpg (5630 bytes)

Secondary syphilis have multiple moist lesions


HerpesVulvitis150.jpg (11419 bytes)

Herpes start off as 1-2 mm blisters, which then break open, leaving painful ulcers.

lgv150.jpg (9373 bytes)

LGV (lymphogranuloma venereum)

vin3150.jpg (11367 bytes)

Vulvar Intraepithelial Neoplasia (VIN III) gives a focal, white lesion.

hematoma150.jpg (14939 bytes)

A vulvar hematoma, seen here in the patient's left labia majora, is extremely painful.


monilia150.jpg (5638 bytes)

Monilia (yeast, candida) of the vulva is an itchy red rash.

lichen1150.jpg (12586 bytes)

Lichen sclerosis gives a white discoloration with loss of anatomic detail.

mollusc2150.jpg (6123 bytes)

Molluscom contagiosum are painless, raised lesions of 1-2 mm, with a central dimple.

inclusion150.jpg (6231 bytes)

An inclusion cyst is a painless cyst at the opening of the vagina.


chancroid150.jpg (9380 bytes)

Chancroid has an irregular, wet ulcer.

tineac150.jpg (3854 bytes)

Tinea Cruris provides a raised, red, intensely itchy rash.

hyperdyst150.jpg (6295 bytes)

Hypertrophic vulvar dystrophy gives a diffuse, itchy, white lesion.

condy_small.jpg (2690 bytes)

Condylomas (venereal warts) are small, painless, couliflower-like growths.


Abscess150.jpg (14302 bytes)

Vulvar abcess is tense and painful.

Skenes150.jpg (9293 bytes)

Skene's gland abscess.

melanosis150.jpg (9943 bytes)

Melanosis has multiple, flat, asymptomatic lesions.

vulvaca150.jpg (11531 bytes)

Vulvar cancer is an erosive, friable lesion.


vestibulitis6150.jpg (9380 bytes)

Vulvar vestibulitis causes painful intercourse.

runrash150.jpg (5895 bytes)

Runner's rash is a painful abrasion.

 

 

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C.
20372-5300

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMEDPUB 6300-2C
January 1, 2000

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