Summary: Pigmented vulvar lesions represent a wide range of dia gnostic units with the essential role of precise histopathologic identifi cation. The article reviews pigmented vulvar lesions. Furthermore, it deals with basal cell carcinoma in more detail and presents a case of an 85-year-old female with vulvar pigmented basal cell carcinoma. Key words: vulva – pigmented lesions – basal cell carcinoma