Case History / Examination :
A 43-year-old multiparous woman (Gravida 4 Para 4) was admitted to the obstetrics and gynecology department for a giant painless mass in the right-sided vulva with ulceration and foul-smelling vaginal discharge for four months. Medical history is significant for Psoriasis, with no significant family or surgical history, no fever, and the patient is a non-smoker.
Her menstrual cycles were regular with no dysmenorrhea and normal vaginal deliveries. On clinical examination, paleness was observed, without jaundice, and a rash with itchy, scaly patches was presented on the hands and feet . On genitourinary examination, an ulcerated, pedunculated giant vaginal mass that measures 1.7 kilograms was recognized on the right labia majora.