Vulvar Melanosis
During a routine examination, macular dermatitis with irregular borders was noted on the genitalia of an otherwise healthy 41-year-old woman. The right labia minora featured a 7-cm dark pigmented macular area; a similar area measuring 10 cm was observed on the left upper labia minora.
During a routine examination, macular dermatitis with irregular borders was noted on the genitalia of an otherwise healthy 41-year-old woman. The right labia minora featured a 7-cm dark pigmented macular area; a similar area measuring 10 cm was observed on the left upper labia minora.
Vulvar melanosisSMQ-8212-SMQa benign, harmless, unilateral or bilateral patchy pigmentation of the vulvaSMQ-8212-SMQwas diagnosed. Drs Eduardo Scholcoff and Steven J. Jereb and Patricia Taylor, MS, RN, FNP, of Rockford, Ill, report that the differential diagnosis includes melanoma, vulvar nevi, Bowen disease, vulvar intraepithelial neoplasia, hemangiomas, and vascular tumors. Histologic examination can distinguish vulvar melanosis from melanoma and rule out the other diseases in the differential. Biopsies of both lesions were obtained; squamous hyperplasia and fibrosis were revealed in the right labia minora, and melanosis without atypia was found in the left. Similar lesions may occur on the penis.
The patient will be followed up annually to detect any changes in the size, pattern, and color of the lesions, which may signal malignant transformation. No further treatment was needed at this time.
3 Reasons Urology Practices Should Add Onsite UTI PCR Labs Under New LCD Rules
March 11th 20251. ONSITE PCR TESTING BRINGS SIGNIFICANT CLINICAL BENEFITS TO A PRACTICE. - ACCURACY Traditional urine cultures can give false-negative results. - SPECIFICITY Accurate microbial identification leads to targeted treatment. - SPEED Same day results vs. 3-5 days for traditional urine cultures - - - ANTIBIOTIC RESISTANCE MARKERS Improves antimicrobial stewardship 2. MAINTAIN INDEPENDENCE BY INCREASING REVENUE SIGNIFICANTLY THROUGH REVENUE SHIFTING FROM THE REFERENCE LAB TO THE PRACTICE. - Turnkey: Consultation on COLA and CLIA certification, all necessary equipment, standard operating procedures, personnel sourcing and interview, billing and coding training, 3-4 days of onsite training. - Stark Law Compliant: Complies with anti-kickback statutes. - Medicare part B pays at 100%, Med Advantage Plans at 80% - No lab build-out, only 8 linear feet of counter space needed - Z-code procurement for required states 3. BETTER PATIENT CARE LEADS TO BETTER OUTCOMES. - CONVENIENCE Point of care, no third-party referral lab. - TIMELY Results early in the care process. - CORRECT MEDICATION Avoids two trips to the pharmacy. - BETTER OUTCOMES Reduction of recurrent UTI and hospitalizations
