Shallow ulcers on red bases
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.
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.
A firm, painless ulcer suggests the chancre of primary syphilis. Since most chancres in women develop internally, they often go undetected.
Flat, gray papules
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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