2.4.2 Pathology of the Vulva Flashcards
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Squamous cell carcinoma
What is the treatment of Herpes simplex virus?
Acyclovir
How does primary syphilis present?
As an ulcer - heaped up borders
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Melanoma
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HSV infection - vesicular rash on erthematous base
What are the characteristics of Lichen Simplex Chronicus?
Hyperplasia of vulvar squamous epithelium
Leukoplakia with thick leathery skin
Chronic itching
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What are the characteristics of Lichen planus?
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What are the characteristics of Paget’s disease?
Malignant epithelial cells in the epidermina of vagina
Associated with underlying carcinoma
Erthematous, pruritic and ulcerated vulvar skin
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What are the treatments of genital condyloma?
Topicals
Ablative
Excision
What are the characteristics of Bartholin ducts cyst?
Unilateral, waxing and waning edema, tender - in pore of bartholin gland
May become secondarily infected and form abscess
Cystic dilation of Bartholian gland
Arises due to inflammation or obstruction of duct
Women of reproductive age
What are the characteristics of vulvar carcinoma?
Arises from squamous epithelium
Rare
Leukoplakia
Can be HPV or non HPV related
What are the characteristics of genital condyloma?
Associated with HPV 6 and 11. Most commonly sexually transmitted disease.
Warty neoplasm of valvar skin
Histologically - Koilocytes
Rarely progress to carcinoma
What is the treatment of Bartholins gland cyst?
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What are the characteristics of Herpes simplex virus?
Flu like symptoms followed by painful vesicles and erosions
May be either HSV 1 or 2
Most spread through asymptomatic shedding
What are the characteristics of VIN III?
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What is Condylomata lata?
Secondary syphilis
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Herpes
notice the blisters
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Genital warts
What are the characteristics of primary and secondary syphilis?
Primary - painless firm ulcer, usually solitary
Secondary - nonulcerating, generalized eruption of plaques and papules
Treatment - penicillin
What are the characteristics of Lichen Sclerosus?
Thinning epidermis and fibrosis of the dermins
White patch with parchment-like vulvar skin
Slight risk for squamous caell
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