CASE HISTORY/EXAMINATION
A 78-year-old female patient presented with a history of a small, hard lump on labia majora that appeared in 2022, and according to her, it disappeared after using topical antibiotics for 1 week. However, as per her, one month later it reappeared. The patient is currently under Levothyroxine 100mcg for hypothyroidism. She is G10P4L4A2 and her last childbirth was 44 years ago. Menopause occurred about 40 years ago. The patient provided no family history of carcinoma.