Cutaneous T-cell lymphomas (CTCLs) or B-cell lymphomas of the vulva are rare, aggressive, and often prone to either delayed or misdiagnosis. Other cutaneous diseases, such as lichen sclerosis, sexually transmitted diseases and dermatopathologies (Citarella et al., 2003) can mimic the presentation of these cutaneous lymphomas. Furthermore, most cases of lymphoma of the vulva are secondary manifestations of other primary disease processes (Vang et al., 2000). In the following case, we present a primary mycosis fungoides (MF) of the vulva in a biopsy of redundant vulvar tissue. To our knowledge this is the first reported case of primary MF of the vulva, and underscores the need to include primary lymphoma in the differential diagnosis when patients present with vulvar lesions.
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