Woman Presents With Vulvar Lesion

A 49-year-old woman presents with a lesion of the vulva, and a biopsy is performed. What is your diagnosis?

A 49-year-old woman presents with a lesion of the vulva, and a biopsy is performed.

Based on the image shown, what is your diagnosis?

A. Basal cell carcinoma

B. Lymphoma

C. Paget disease

D. Merkel cell carcinoma

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