A 55-year-old postmenopausal woman presents to the GP with a painless, blood-stained vulval lesion. On examination, there is a 1.5 cm erythematous, ec...

Question

A 55-year-old postmenopausal woman presents to the GP with a painless, blood-stained vulval lesion. On examination, there is a 1.5 cm erythematous, eczematoid plaque on the right labium majus that has not responded to topical corticosteroids. Biopsy reveals Paget cells. What is the diagnosis?

Accepted Answer

Extramammary Paget disease of the vulva

Answer

Vulval eczema

Answer

Lichen sclerosus

Answer

Melanoma in situ

Answer

Contact dermatitis

uk-drcog MCQ (SBA): Extramammary Paget Disease of the Vulva

A 55-year-old postmenopausal woman presents to the GP with a painless, blood-stained vulval lesion. On examination, there is a 1.5 cm erythematous, eczematoid plaque on the right labium majus that has not responded to topical corticosteroids. Biopsy reveals Paget cells. What is the diagnosis?