Lichen sclerosus of the vulva: pronounced smooth whitish sclerosis of the vulva and penineum; extensive atrophy of the small labia with gaping vagina. 7-year-old girl; changes of the lichen sclerosus for several years.
Lichen sclerosus of the vulva: pronounced lichen sclerosus with extensive whitish sclerosing of vulva, perineum and anus (circle). On the left side a "confetti-like" dissected marginal zone is marked. On the right side the arrow indicates a verrucous transformation of the lichen sclerosus.
Lichen sclerosus of the vulva: moderately pronounced lichen sclerosus with focal extensive whitish sclerosing of vulva and perineum, for further explanation see the following figure
Lichen sclerosus of the vulva: moderately pronounced lichen sclerosus with focal extensive whitish sclerosing of the vulva (arrow) and perineum (circle); marked by a square, a completely normal mucosa of large and small labia.
Lichen sclerosus of the vulva and anus. 7-year-old girl. massive dermatitic reaction with severe itching. pictured from Eiko E. Petersen, colour atlas of vulva diseases. with fresh permission of Kaymogyn GmbH Freiburg.
Lichen sclerosus of the vulva: two-dimensional, almost homogeneous sclerosing of the large and small labia, beginning atrophy of the small labia. 17-year-old female patient.
Lichen sclerosus existing for decades. atrophy of the small labia. splatter-like bleeding. anal hygiene problem. picturedfrom Eiko E. Petersen, colour atlas of vulva diseases. with. frdl. permission of Kaymogyn GmbH Freiburg.
Lichen sclerosus of the vulva: verrucous lichen sclerosus with synecchia between small and large labia, extensive atrophy of the small labia with narrowing of the introitus vaginae.
Slight lichen sclerosus in a 29-year-old female patient. Liksided, encircled, reticular white coloration of the large labia. Right-sided plaque-shaped sclerosis area; permanent itching. Fig. from Eiko E. Petersen, Color Atlas ofVulva Diseases. With permission of Kaymogyn GmbH Freiburg.
Lichen sclerosus of the vulva: verrucous lichen sclerosus (arrow) with left-sided, flat squamous cell carcinoma; extensive atrophy of the small labia.
Advanced, never effectively treated Lichen sclerosus (58 years). 5 years later vulva carcinoma. Fig. from EikoE. Petersen, Colour Atlas of Vulva Diseases, with early approval of Kaymogyn GmbH Freiburg.
Long-standing lichen sclerosus of the vulva with complicated carcinoma development (see following figure); complete atrophy of the small labia.
Lichen sclerosus of the vulva: encircled the flat indurated and surface atrophic part of the lichen sclerosus; in the square and marked with arrows erosive node of squamous cell carcinoma.
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