......The ringlike pattern is the most frequent finding (82%) associated with vulvar melanosis with multifocal aspect.10 According to our opinion, the ringlike pattern in recurrent VM could be the sign of multifocal process that warrants careful examination of the whole vulva , not to miss VM recurrence in adjacent parts of the pigmented lesion. VM recurrence at the location diagonal to the thickest part of the initial tumour support s the concept of mucosal VM as a multifocal disorder , and suggests that VM is a consequence of “field effect“ in affected women........