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No myoepithelial cell layer or outer smooth muscle layer is present Surgical excision is the management Epidermal Inclusion Cyst They are commonly seen in the labia majora and may result from obstruction of the pilosebaceous ducts and glands Patients may present with complaints of a palpable nodularity within the vulva Cyst is lined by stratified cornified squamous epithelium and filled with keratinaceous debris Other Cysts Other cysts, more commonly seen in the vagina, can rarely occur in vulva and include mesothelial cyst , Skene duct cyst , and mesonephric-like cyst (see Vagina) Benign Discolored Lesions Lichen Sclerosus Clinical Lichen sclerosus accounts for 3040% of nonneoplastic epithelial lesions of the vulva

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(Photo Courtesy of Alabama Black Belt Adventures) Chad Stinson harvested a 13-point velvet buck

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