Genital lumps Flashcards
What is the most common cause of genital lumps?
HPV
Which STIs have a nodular/papular phase?
LGV
Scabies
Molluscum contagiosum
M-Pox
HPV
What are symptoms of HPV?
Ano-genital warts
Micro-trauma during sex
Irritation and soreness
Distortion of urine
Bleeding from urethra
What does treatment choice of genital lumps depend on?
Site
Keratinised/Non-keratinised
Number
Pregnancy status
What are HPV genital warts treatments?
Podophyllotoxin 0.15% cream - local tissue necrosis
Imiquimod 5% cream - stimulates innate response
Green tea extract 10% ointment - local tissue necrosis
What are physically ablative treatments for genital warts?
Hyfrecation - tissue destruction with heat
Cryotherapy - tissue destruction with liquid nitrogen freezing
What is CIN?
Cervical intra-epithelial neoplasia - squamous cell premalignant lesion
How is CIN identified?
Biopsy - during colposcopy
How can HPV be prevented?
HPV vaccine
What is treatment for HPV genital warts in pregnancy?
Physically ablative methods only - rare complications e.g. obstruction of labour
What is the management of M-Pox?
NAATs testing from lesion
Usually localised rash
Vaccine and condoms advised for 12 weeks
What are clinical features of molluscum contagiosum?
Itch
Discomfort
Secondary bacterial infection
What is management of molluscum contagiosum?
Podophyllotoxin 0.5%
Imiquimod 5%
Cryotherapy
