A biopsy should be obtained from all suspicious lesions and Immunocytochemistry can reveal positive results for S-110 protein, HMB 45 and melan A. Once the diagnosis of<unk>  is established, additional examinations should be performed to exclude the spread to regional lymph nodes or distant organs, as the diagnosis of<unk>  is often delayed. Lymph-node involvement is the most important prognostic factor.
Vaginal melanoma
Cutaneous endometriosis
Vaginal cancer
Squamous-cell carcinoma of the vagina
Pyometra
Vulvar cancer
Hidradenoma
Breast cyst