Vulva lesion
tarigms
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57 slides
Sep 15, 2013
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Slide Content
Benign and malignant
disease of the vulva
Khalid Sait ( FRCSC)
Gynecological Oncology
Professor
Faculty of Medicine
King Abdulaziz University
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
Disease
• Itching
• Burning
• Dyspareunia
• Discharge
• Bleeding
General Pathology Term.
• Epidermis
• Acanthosis
• Parakeratosis
• Hyperkeratosis
• Epidermis
• Acanthosis
• Parakeratosis
• Hyperkeratosis
Vestibular
Micropapillomatosis
Micropapillomatosis
General Guide to
Diagnosis
• White Lesions
• Red Lesions
• Brown/Bluish Lesions
Diagnosis
• White Lesions
• Red Lesions
• Brown/Bluish Lesions
White Lesions
• Vitilligo
• Nonneoplastic epithelial disorders
• Vitilligo
• Nonneoplastic epithelial disorders
Nonneoplastic Epithelial
Disorders - Vulva
• Squamous cell hyperplasia
• Lichen Sclerosis
• Other dermatosis
ISSVD 1987
Disorders - Vulva
• Squamous cell hyperplasia
• Lichen Sclerosis
• Other dermatosis
ISSVD 1987
Lichen Sclerosis
• Steroid
• Testesterone
• Progesterone
• Steroid
• Testesterone
• Progesterone
Squamous cell
hyperplasia
• Steroid
hyperplasia
• Steroid
Red Lesions
• Infective
• Dermatitis
• Psoriasis
• Pagets
• VIN/Ca
• Infective
• Dermatitis
• Psoriasis
• Pagets
• VIN/Ca
HPV - Treatment
• Observation
• Podophyllin
• Trichloroacetic acid
• Interferon
• Imiquimod ( Aldara)
• Excision /Laser
• Observation
• Podophyllin
• Trichloroacetic acid
• Interferon
• Imiquimod ( Aldara)
• Excision /Laser
Brownish/Bluish Lesions
• VIN
• Naevi/Melanoma
• Carcinoma
• VIN
• Naevi/Melanoma
• Carcinoma
Key Points
• Inspection/ Palpation
• Biopsy prior to treatment
• Medical therapy for majority of
benign lesions
• Inspection/ Palpation
• Biopsy prior to treatment
• Medical therapy for majority of
benign lesions
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