Skin-Colored Papules and Nodules: Introduction
Skin-colored papules and nodules are the most frequent vulvar lesions. A few of them are not pathogenic and should not be treated. They may present as cysts or as solid tumors. The approach to diagnosis, the associated myths, and the treatment which are n
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David Nunns and Rosalind Simpson
11.1 Introduction In the following chapters and throughout the book, a number of causes of papules and nodules that may clinically present the same color as the patient’s skin are presented. An outline of the classification of the different conditions is given in Table 11.1.
Table 11.1 Summary of causes of skin-colored papules and nodules Cysts Mucinous cysts Epidermoid cysts Cyst of the canal of nuck Pilonidal cysts Bartholin gland cyst
Solid lesions Skin tag (acrochordon, fibroepithelial polyp) Scars Benign tumors • Syringoma • Mammary-like gland tumor (hidradenoma papilliferum) Malignant tumors • Squamous cell carcinoma • Basal cell carcinoma Infection • Human papilloma virus infection • Molluscum contagiosum
Skin Coloured Papules and Nodules: Breaking the Myths
• Papillae on the vestibule and medial vulva minora usually do not represent HPV infection. They are papillomatosis (micropapillomatosis)—a normal finding. • Usually, tumors do not cause pruritus. An exception is syringoma—multiple, confluent white or skin-colored papules on the labia majora, associated with pruritus.
D. Nunns (*) Department of Gynaecological Oncology, Nottingham University Hospital, Nottingham, UK R. Simpson Centre of Evidence Based Dermatology, University of Nottingham, Nottingham, UK e-mail: [email protected] © Springer International Publishing AG, part of Springer Nature 2019 J. Bornstein (ed.), Vulvar Disease, https://doi.org/10.1007/978-3-319-61621-6_11
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