Vulva lesion

•

0 likes•875 views

Tariq Mohammed

Health & Medicine

Benign and malignant
disease of the vulva
Khalid Sait ( FRCSC)
Gynecological Oncology
Professor
Faculty of Medicine
King Abdulaziz University

Symptoms of Vulvar
Disease
•  Itching
•  Burning
•  Dyspareunia
•  Discharge
•  Bleeding

General Pathology Term.
•  Epidermis
•  Acanthosis
•  Parakeratosis
•  Hyperkeratosis

General Guide to
Diagnosis
•  White Lesions
•  Red Lesions
•  Brown/Bluish Lesions

White Lesions
•  Vitilligo
•  Nonneoplastic epithelial disorders

Nonneoplastic Epithelial
Disorders - Vulva
•  Squamous cell hyperplasia
•  Lichen Sclerosis
•  Other dermatosis
ISSVD 1987

Lichen Sclerosis
•  Steroid
•  Testesterone
•  Progesterone

Red Lesions
•  Infective
•  Dermatitis
•  Psoriasis
•  Pagets
•  VIN/Ca

HPV - Treatment
•  Observation
•  Podophyllin
•  Trichloroacetic acid
•  Interferon
•  Imiquimod ( Aldara)
•  Excision /Laser

Brownish/Bluish Lesions
•  VIN
•  Naevi/Melanoma
•  Carcinoma

Key Points
•  Inspection/ Palpation
•  Biopsy prior to treatment
•  Medical therapy for majority of
benign lesions

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Morphologically altered tissue in which cancer is more likely to occur than its apparently normal counter part. -WHO(1978) Definition Leukoplakia is defined as ‘white patch’ or ‘plaque’ in the oral cavity, which cannot be scraped off or stripped off easily and more over which cannot be charectarized clinically or pathologically as any other disease. –WHO Redefined as a “ predominantly white lesion of oral mucosa that cannot be characterized as any other definable lesion; some oral leukoplakia will transform into cancer” (Axell T, 1996) Homogenous Leukoplakia Non-Homogenous Leukoplakia Granular or Nodular Leukoplakia Speckled or Erythroleukoplakia Verruciform Leukoplakia Proliferative Verrucous Leukoplakia

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