A wide spectrum of benign, premalignant, and malignant lesions may involve the vulva. The challenge to the clinician is to differentiate between normal variants, benign findings, and potentially serious disease, and this is not always easy. Melanomas, basel cell carcinomas and squamous cell carcinomas may occur on the vulva, vaginal opening, anus or buttocks and these areas require systematic exams to complete a total body skin check.

Many dermatologists are hesitant to thoroughly examine the genital area when performing routine skin checks in high risk patients. Dr. Hall offers screening of these hard to see areas with the aid of a colposcope and the use of biopsies when indicated.