Not every pigmented lesion of the vulva is a melanoma. It can be a neavus or a seborrheic keratosis. The lesion should be checked clinically; and if the clinician is not certain he might perform a biopsy and a pathology examination.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.