Skin-colored papules and nodules are the most frequent vulvar lesions. A few of them are not pathogenic and should not be treated. They may present as cysts or as solid tumors. The approach to diagnosis, the associated myths, and the treatment which are needed are detailed in this chapter.
Summary of causes of skin-colored papules and nodules
Cyst of the canal of nuck
Bartholin gland cyst
Skin tag (acrochordon, fibroepithelial polyp)
• Mammary-like gland tumor (hidradenoma papilliferum)
• Squamous cell carcinoma
• Basal cell carcinoma
• Human papilloma virus infection
• Molluscum contagiosum
Skin Coloured Papules and Nodules: Breaking the Myths
Papillae on the vestibule and medial vulva minora usually do not represent HPV infection. They are papillomatosis (micropapillomatosis)—a normal finding.
Usually, tumors do not cause pruritus. An exception is syringoma—multiple, confluent white or skin-colored papules on the labia majora, associated with pruritus.