Thin vulvar melanoma: a challenging diagnosis. Dermoscopic features of a case series

• DOI: 10.1111/ced.14068
• Publication Date: 2019-08-07T02:49:09Z
• Authors: S. Vaccari; A. Barisani; C. Salvini; S. Pirola; E. P. Preti; E. Pennacchioli; A. D. Iacobone; A. Patrizi; G. Tosti
• Keywords: Labia Minora; Labia majora; Breslow Thickness; Melanosis; Vulvar neoplasm

Vulvar melanoma (VM) is rare and often diagnosed late. Dermoscopy may aid in its recognition, differentiating VM from other more common vulvar lesions, such as melanosis naevi. However, little known about the dermoscopic features of thin VM. To retrospectively analyse a series histopathologically VMs to highlight their most suggestive features. A multicentre, retrospective study was conducted, including proven VMs, either intraepidermal or with Breslow thickness ≤ 0.5 mm, during period 2016–2018. We particularly focused on characteristics diagnostic clues. In total, 14 cases early‐stage were included, women mean age at diagnosis 64.86 years. The frequently affected sites labia minora. Of these, 11 unifocal. revealed structureless areas, grey globules irregular black–brown dots, blue white structures, red areas. our experience, exhibits that are typical thicker cutaneous melanomas. provide useful clues for prompt