<s>[INST] yes i have white places coming up on my lower arms the left one has alot what could this be. I had vin cancer 3 years ago and i am thinking it may be coming back. VIN is a female cancer that 1 in a million women get and I had to be the 1 in a million have you ever heard of VIN cancerI am so sorry I am on disability and I have no way but to be honest that is how I am !!! I live on 700 a month and have no food the last week of the month and I didnt know there was a charge. I am so so sorry for the bother I have been .  Thank You for trying to help me Gods knows I need the help . I send my best to you and your loved ones. ONCE AGAIN I AM SO SORRY MARY RILEY [/INST] Hi, I have gone through your query. White patches are usually suggestive of fungal infection. Since you have VIN 3 years back, problem with melanocyte cannot be ignored. But VIN is localized to vulgar region. Lesion needs to be clinically examined and may require tests, if needed. I advise you to consult a dermatologist for further opinion or can send picture of lesion with other symptoms. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http://bit.ly/1dYupT2 </s>