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Chronic lichen sclerosus with flattening of most of the vulvar architecture and thickening and painful fissuring on the right periclitoral area and in the erosive area on the right lower vulvar trigone due to squamous cell carcinoma. Any questionable new changes on the vulva and lichen sclerosus need to be biopsied. Source: Chapter 78. Diseases and Disorders of the Female Genitalia, Fitzpatrick's Dermatology in General Medicine, 8e Citation: Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. Fitzpatrick's Dermatology in General Medicine, 8e; 2012 Available at: Accessed: November 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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