Path vulva/vagina

Question 1

The common path of Bartholin gland obstruction

Answer 1

Repeated inflannation f/ gonno or chlam

Question 2

Differentiating soft tissue tumor vs Bartholin gland cyst

Answer 2

Presence of residual mucinous glands around cysts is the clue to the diagnosis of Bartholin gland cyst

Question 3

Different cysts and common locations (4)

Answer 3

Gartner duct -> Lateral wall vagina
Sebaceous cyst -> Labium majus
Periurethral -> Near urethra
Cysts of canal of Nuck -> Inguinal canal

Question 4

Lichen Sclerosus of Vulva

• A/S
• EPI
• S/S

Answer 4

• A/S: morphea; Premalignancy/squamous disease; Autoimmune
• EPI: caucasian; 5th decade
• S/S: Sharply demarcated “porcelain white” to light pink plaques in “figure eight;” dyspareunia

Question 5

Lichen Planus LabDx

Answer 5

• Saw-tooth epithelium/ rete ridges

- Colloid or civatte bodies

Question 6

• Well-circumscribed,dermal-based, benign gland-forming tumor with apocrine (Sweat Glands of the Vulva) differentiation

Answer 6

Vulvar Papillary Hidradenoma

Question 7

Pruritic, red, crusted, maplike area, on the labia major epidermis and adjacent hair follicles and sweat glands

Answer 7

Extra-mammary Paget Disease

Question 8

Squamous Cell Carcinoma of Vulva Types

Answer 8

KEratinizing -> Unrelated to HPV; older women; Long-standing Lichen Sclerosus; “Leukoplakie;” Dif VIN

Warty/Baseloid -> High risk HPV classic/undif VIN ; younger ages

Question 9

erythematous plaque with slightly raised pearly white irregular borders

Answer 9

BCC of Vulva

Question 10

Vaginal adenoma Eti

Answer 10

• embyogenic

- DES exposure before 8th week

Question 11

Vaginal CC Adenocarcinoma

Answer 11

• DES exposure

- Anterior wall upper 1/3

Question 12

Embryonal Rhabdomyosarcoma/Sarcoma botryoides

Answer 12

• infants + children under 5
• ## “grape-like” Polypoid, rounded, bulky mass