Basal cell carcinoma (BCC) is frequently seen in Caucasians on sun-exposed sites but it can also arise on non-sun-exposed sites such as the perianal and genital regions.1–6 The prevalence of vulvar BCC, of all BCCs, is reported to be 0.92% in China3 and 2–4.9% in Europe1,2 with incidence of 3.2% of all vulvar cancers in Caucasians4 up to 8% in China.3 It occurs most commonly in post-menopausal women.1–3 Vulvar BCC may be presented as any other type of BCC with nodule or ulcer, but sometimes, it can be presented with slightly visible, indolent lesion that may be present for years.5 In Caucasians, only 3% of vulvar BCC were pigmented2 and in China, in contrast, 81% BCC were pigmented.3 So far, only one vulvar BCC case has been published with dermatoscopy image provided.7 The aim of this report is to present rare, pigmented vulvar type of BCC preoperatively examined with dermatoscopy in order to make distinction to melanoma, in the 4 first place.