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                <text>Vulvar disease is a source of patient distress, provokes multiple consultations with&#13;
physicians, and is a challenging diagnostic area for gynecologists, dermatologists,&#13;
and pathologists. Some gynecologists may be insecure or unfamiliar with the various&#13;
vulvar problems, and their training and experience may not encompass the spectrum&#13;
of disease found on the vulva, especially the dermatologic entities. Dermatologists&#13;
who see vulvar disease may not be as familiar with the gynecologic vulvar disease&#13;
entities. Pathologists, except for the rare subspecialists with high-volume practices,&#13;
can often be challenged in this area.</text>
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