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Dermoscopy

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Dermoscopy is a dermatological technique used mainly in the diagnosis of pigmented lesions. It is not so easy to use on the vulva as special attachments are required in addition to the hand‐held device. This may give additional information when assessing vulval lesions [19], and newer techniques such as reflectance confocal microscopy may be of some use [20].

Table 7.2 Main indications for imaging in vulval disease

Examples
Congenital abnormalities Müllerian duct agenesis, Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome Vaginal septa Developmental cysts Cloacal exstrophy
Benign lesions Cysts Fistulae
Inflammatory disease Hidradenitis suppurativa Crohn’s disease
Malignant disease Staging at diagnosis Recurrent disease Monitoring post treatment

Ridley's The Vulva

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