case_images: PMC4427817_01
case_images: Photograph of the lesion prior to surgery.
case_images: CRIDM2015-162483.001.jpg
case_images: PMC4427817_01_CRIDM2015-162483.001.jpg
case_images: fig1
case_images: Examination of the vulva revealed normal hair distribution for age, a hypertrophic vulva, and the presence of a hardened, ulcerated, purplish lesion measuring 4 cm in diameter, with hyperchromic and hypochromic spots, situated on the lower third of the right labium majus, close to the vaginal fourchette (Figure 1).
case_images: Photograph taken during surgery showing resection margins.
case_images: CRIDM2015-162483.002.jpg
case_images: PMC4427817_01_CRIDM2015-162483.002.jpg
case_images: fig2
case_images: Right hemivulvectomy was performed with wide margins all around (Figures 2 and 3).
case_images: View of the completed surgical procedure.
case_images: CRIDM2015-162483.003.jpg
case_images: PMC4427817_01_CRIDM2015-162483.003.jpg
case_images: fig3
case_images: Right hemivulvectomy was performed with wide margins all around (Figures 2 and 3).
case_images: HE, 100x, Paget cells with clear cytoplasm inside the epidermis.
case_images: CRIDM2015-162483.004.jpg
case_images: PMC4427817_01_CRIDM2015-162483.004.jpg
case_images: fig4
case_images: The surgical margins were free (Figures 4 and 5).
case_images: HE, 400x, Paget cells in the basal layer, some with melanic pigment.
case_images: CRIDM2015-162483.005.jpg
case_images: PMC4427817_01_CRIDM2015-162483.005.jpg
case_images: fig5
case_images: The surgical margins were free (Figures 4 and 5).