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Clinical Details

This is a vulval scraping smear of 44 years old woman who presented with complaints of itching and hysterectomy fourteen years ago for DUB. Physical examination showed an ulcerated and painful 1x1 cm well circumscribed nodular exophytic growth on the labia majora. 

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Image 1 (Pap, 400x) Image2 (Pap,400x)
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1

Low-grade adenocarcinoma originating in the sweat gland

2
 Extra-mammary Paget’s disease
3
 Papillary Hidradenoma of vulva

                                                                                  

 
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