A 58-year-old woman presents to the GP with a skin-coloured nodule on the vulva. On examination, it is a 1 cm, firm, well-circumscribed, non-tender no...

Question

A 58-year-old woman presents to the GP with a skin-coloured nodule on the vulva. On examination, it is a 1 cm, firm, well-circumscribed, non-tender nodule on the right labium majus. It has been present for 3 months and is slowly growing. She has no history of lichen sclerosus. Which is the single most appropriate action?

Accepted Answer

Arrange excision biopsy or punch biopsy to exclude vulval malignancy

Answer

Apply clobetasol propionate cream

Answer

Reassure as vulval lumps are always benign

Answer

Apply imiquimod cream

Answer

Observe for 6 months

uk-drcog MCQ (SBA): Persistent Vulval Nodule - Biopsy