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. 2016 Nov 10;10:319. doi: 10.1186/s13256-016-1106-1

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© The Author(s). 2016

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 1 — Physical examination and clinical imaging. a Ulcerative lesion on the inner side of the left labium minorum (arrow). b T1-weighted, contrast-enhanced magnetic resonance image revealing a 31 × 24 mm mass of moderate-to-high intensity in the left vulvar region (arrow); the mass does not involve the urethra or anus. c Positron emission tomography computed tomography revealing tumor metastases to the sacrum (arrow)