case_images: PMC5816857_01
case_images: A localized and well-demarcated lesion on the labia minora.
case_images: CRIOG2018-1816782.001.jpg
case_images: PMC5816857_01_CRIOG2018-1816782.001.jpg
case_images: fig1
case_images: Physical examination revealed a hyperpigmented and erosive lesion, approximately 2 cm in diameter, centrally localized in the vulva (Figure 1).
case_images: Vulvar excision and groin incision. (a) Vulvar defect after radical local excision. (b) Sentinel lymph node in the right inguinal region.
case_images: CRIOG2018-1816782.002.jpg
case_images: PMC5816857_01_CRIOG2018-1816782.002.jpg
case_images: fig2
case_images: Vulvar radical local excision and bilateral inguinal sentinel lymph node biopsies (using methylene blue dye) were performed (Figure 2).
case_images: HE x100. Nests of neoplastic squamous epithelium with keratinization.
case_images: CRIOG2018-1816782.003.jpg
case_images: PMC5816857_01_CRIOG2018-1816782.003.jpg
case_images: fig3
case_images: The pathology report was similar to the excisional biopsy report with a clear surgical margin (Figure 3).
case_images: Surgical site recovery 12 months after surgery.
case_images: CRIOG2018-1816782.004.jpg
case_images: PMC5816857_01_CRIOG2018-1816782.004.jpg
case_images: fig4
case_images: Follow-up after 12 months of the surgery showed no evidence of disease (Figure 4).