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Vulvar cancer: Causes, symptoms, and treatments

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A year-old woman presented to our department with intense pruritus in the vulvar area. Clinical examination revealed the presence of slightly white shiny plaques of the vulva and an atypical pigmented lesion, which the patient was not aware of. The lesion was asymmetric, darkly pigmented, heterogeneous in color and irregular in shape. The suspicious pigmented lesion was excised under local anesthesia. Histological examination revealed the presence of an in situ melanoma arising on a dysplastic nevus. A wide local excision with a 5mm margin was also performed. No residual tumor was detected but slight skin alterations suggestive of LS were still present.