Fir

Shallow ulcers on red bases

Epidermoid Cyst

Small, firm, round cystic nodules in the labia suggest epidermoid cysts. They are sometimes yellowish in color. Look for the dark punctum marking the blocked opening of the gland.

Venereal Wart

(Condyloma Acuminatum)

Warty lesions on the labia and within the vestibule suggest condylomata acuminata. They are due to infection with human papillomavirus.

Genital Herpes

Shallow, small, painful ulcers on red bases suggest a herpes infection. Initial infection may be extensive, as illustrated here. Recurrent infections are usually confined to a small local patch.

Syphilitic Chancre

A firm, painless ulcer suggests the chancre of primary syphilis. Since most chancres in women develop internally, they often go undetected.

Flat, gray papules

Secondary Syphilis

(Condyloma Latum)

Slightly raised, flat, round or oval papules covered by a gray exudate suggest condylomata lata. These constitute one manifestation of secondary syphilis and are contagious.

Carcinoma of the Vulva

An ulcerated or raised red vulvar lesion in an elderly woman may indicate vulvar carcinoma.

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