Notes in OG8.5 Vulvar abnormalities

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Published 10/04/2024 The mons pubis, labia majora, labia minora, clitoris and the vestibula make up the {{c1::vulva}}
Published 10/04/2024 Lichen sclerosis is more common in {{c1::older::older/younger }} women
Published 10/04/2024 The main symptom of lichen sclerosis is {{c1::vulvar itch }}
Published 10/04/2024 White thin crinkly plaques in a figure of 8 encircling the vestibule, clitoris, labia minora, inner labia majora, and skin around the anus →&nbsp…
Published 10/04/2024 Treatment of symptomatic lichen sclerosis → {{c1::potent corticosteroid}} for a {{c1::3::#}} month period
Published 10/04/2024 Lichen sclerosis is a risk factor for {{c1::squamous cell carcinoma of the vulva (3-5% of cases)::malignancy}}
Published 10/04/2024 Dry, thick, scaly white skin on vulva that is not symmetrical → {{c1::lichen simplex chronicus}}
Published 10/04/2024 Diagnosis of lichen simplex chronicus → {{c1::biopsy}}
Published 10/04/2024 Treatment of lichen simplex chronicus → {{c1::emollients}}
Published 10/04/2024 Purple or white papules on the vulva, that may be thickened and can extend into the vagina and cause scarring → {{c1::lichen planus}}
Published 10/04/2024 Lichen planus may be associated with lesions on other {{c1::mucous membranes}}
Published 10/04/2024 Diagnosis of lichen planus → {{c1::biopsy }}
Published 10/04/2024 Treatment of lichen planus → {{c1::systemic steroids}} and {{c1::azathioprine }}
Published 10/04/2024 Condyloma accuminata treatment → {{c1::Topical podophyllin }}
Published 10/04/2024 Bartholin abscess is a superimposed infection on {{c1::bartholin cyst }}
Published 10/04/2024 Causative organisms of Bartholin's Abscess includes → {{c1::S. aureus}}, {{c1::E. Coli }}, and {{c1::enterococcus }}
Published 10/04/2024 Vulval intraepithelial neoplasia occurs at a mean age of {{c1::40 - 45}}
Published 10/04/2024 Diagnosis of vulval intraepithelial neoplasia → {{c1:: biopsy}}
Published 10/04/2024 Squamous cell carcinoma of the vulva peaks at {{c1::65}} years old
Published 10/04/2024 Squamous cell carcinoma of the vulva diagnosis → {{c1::biopsy, staging CT}}
Published 10/04/2024 Squamous cell carcinoma spreads to the {{c1::superficial inguinal }} lymphnodes, {{c1::deep inguinal-femoral }} lymphnod…
Published 10/04/2024 FIGO staging of vulval cancer:Stage I  → {{c1::Tumour confined to vulva }}
Published 10/04/2024 FIGO staging of vulval cancer:Stage II  → {{c1::Tumour of any size with extension to adjacent perineal structures( lower third of urethra, l…
Published 10/04/2024 FIGO staging of vulval cancer:Stage III  → {{c1::Tumour of any size with or without extension to adjacent perineal structures with positive …
Published 10/04/2024 FIGO staging of vulval cancer:Stage IV → {{c1::Tumour invades other regional or distant structures}}
Published 10/04/2024 Management of early vulval carcinoma → {{c1::radial wide local exicison ± superficial inguinal lymphnode dissection (it > 1 mm deep)}}
Published 10/04/2024 If nodes positive for squamous cell carcinoma of the vulva are less than 2 cm wide → Only nodes on {{c1::the side}} of the lesion are remove…
Published 10/04/2024 Staging of vaginal cancer:Stage I  → {{c1::invasive cancer limited to vaginal wall}}
Published 10/04/2024 Staging of vaginal cancer:Stage II  → {{c1::cancer involves subvaginal tissue and parametrium}}
Published 10/04/2024 Staging of vaginal cancer:Stage III  → {{c1::cancer extends to pelvic side wall}}
Published 10/04/2024 Staging of vaginal cancer:Stage IV  → {{c1::involvement of bladder or rectum or distant spread}}
Published 10/04/2024 Most cases of vaginal cancer are treated with {{c1::pelvic radiotherapy}}
Published 10/04/2024 Vulval intraepithelial neoplasia = {{c1::dysplastic}} lesion of {{c1::squamous}} epithelium of vulva, associated with persistent HPV infection (HPV 16…
Published 10/04/2024 Symptoms of vulval intraepithelial neoplasia20% asymptomatic{{c1::pruritus, irritation, pain}}{{c1::raised, ulcerated, warty, erythematous}} lesions
Published 10/04/2024 vulvar carcinomas{{c1::90}}% = squamous cell {{c1::5}}% = melanomasbasal cellsarcoma
Published 10/04/2024 median age of vulval carcinoma = {{c1::74}} yearscommonly have background of {{c1::lichen sclerosis}} or {{c1::vulval intraepithelial neoplasia}}
Published 10/04/2024 Figo staging of vulval cancerStage 0 = {{c1::VIN}}Stage 1 = confined to {{c1::vulva and perineum}}, ≤ {{c1::2}} cm, no lymph node involvementStage 2 =…
Published 10/04/2024 Mainstay of treatment for vulval cancer = {{c1::surgery}}
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