Micropapillomatosis Labialis

Micropapillomatosis labialis (MPL) is characterized by multiple, small uniform finger-like projections, usually on the inner labia minora and within the vestibule (Fig. 9). The projections are composed of a stromal core covered by unremarkable

Micropapillomatosis Micropapillomatosis Labialis

Figure 7 Endometriosis. (A) (See color insert) Grossly endometriotic implants on the vulva often have a blue appearance. (B,C) The criterion for definitive diagnosis of endometriosis histologically is the presence of endometrial glandular epithelium and stroma. In (B), actual glands are formed, while endometrial-type epithelium is seen lining a space in (C).

Table 6 Vestibular Adenosis

Diagnosis

Symptoms

Clinical appearance

Differential diagnosis

Therapy

Vestibular adenosis

Bleeding, particularly postcoital, pain

Variable. May be red and granular, nodular, or form cysts or masses

Endometriosis, vestibulitis

Observation, laser vaporization, excision

Table 7 Endometriosis

Diagnosis

Symptoms

Clinical appearance

Differential diagnosis

Therapy

Endometriosis

Pain, dyspa-

Firm nodules,

Other nodular

Excision

reunia, often

may be bluish

lesions

cyclical

in color

Micropapillomatosis The Vulva

Figure 8 Acrochordons. (A) Multiple acrochordons (skin tags) are present on the inner thighs. (B) Unremarkable squamous epithelium lines a loose fibrovascular tissue. (C) Occasionally large stellate cells are seen in the stroma and should not be mistaken for evidence of malignancy.

squamous epithelium. The lesions are not felt to be related to human papillomavirus (HPV) (21) and can be distinguished from condyloma acuminatum by the more uniform appearance of the projections. Histologically, the epithelium of MPL does not show the characteristic cytopathic effects of HPV (koilocytosis). The colposcopic appearance resembling endocervix may be alarming to neophytes (Table 9).

Table 8 Fibroepithelial Stromal Polyp

Clinical

Differential

Diagnosis

Symptoms

appearance

diagnosis

Therapy

Fibroepithelial

Usually

Usually small,

Aggressive angiomyxoma,

Excision

polyp

none

rarely larger,

angiomyofibroblastoma,

sessile or

cellular angiofibroma,

polypoid

smooth muscle

epithelium-

neoplasms (1,7)

covered mass

Micropapillomatosis

Figure 9 Micropapillomatosis labialis: small finger-like projections are seen in the vestibule. Source: Photograph courtesy of Hope Haefner, MD, Department of Obstetrics and Gynecology, The University of Michigan Hospitals, Ann Arbor, Michigan, U.S.A.

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Responses

  • Biniam
    What is micropapillomatosis labialis?
    7 years ago
  • amanuel rezene
    Is micropapillomatosis painful?
    7 years ago
  • Primula
    What are the finger like projections on labia minora?
    6 years ago
  • FURUTA
    What is micropapilomatosis labialias?
    6 years ago

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