A 35-year-old black woman presented with a pruritic nodule in the vulvar region. Over the last 3 years, the lesion had progressively enlarged. The patient's medical history was otherwise unremarkable. Physical examination revealed a 1.5 × 0.8 × 0.4-cm, brown, oval nodule with a mildly scaly surface and well-defined borders, located at the left labium majus (Figure 1). The lesion was well circumscribed, nontender, elastic, and freely mobile. The lesion was surgically excised (Figure 2).
de Misa RF, Castro V, Suárez J, Perera A. Pruritic Vulvar Nodule in a Black Woman. Arch Dermatol. 2000;136(9):1165-1170. doi: