Endometriosis of the vulva is uncommon, and most likely to occur in scars such as episiotomy scars (15) or may occur secondarily to implantation of endometrial tissue after a surgical procedure or trauma (Fig. 7A-C). It has also occurred within the Bartholin's gland (16). There is cyclical symptomatology, including pain and dyspar-eunia. Grossly, the lesions appear as firm nodules that may have a blue cast to them. Histologically, the diagnosis is confirmed by the presence of endometrial glandular epithelium and stroma (Table 7).
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