Vaginal Skin Pathology

Question 1

severe pruritis + 60-70yrs old female = Dx ??

Answer 1

Lichen sclerosus

Question 2

risk of SCC in which skin disease of vagina ?

Answer 2

lichen sclerosus

Question 2

“Porcelain” white plaques with violaceous borders

Answer 2

lichen sclerosus

Question 2

how to eliminate the risk of SCC from Lichen sclerosus ?

Answer 2

Punch biopsy

Question 3

figure -8 apperance ??

Answer 3

lichen sclerosus

Question 3

Thick “leathery” vulvar skin +/- Signs of excoriation

Answer 3

Lichen Simplex Chronicus:

Question 3

Habitual scratching or rubbing often secondary to another condition

Answer 3

Lichen Simplex Chronicus:

Question 4

T-cell mediated (CD8+) → Dermal-epidermal junction (interface dermatitis)

Answer 4

lichen planus

Question 5

Hypergranulosis, saw-tooth rete ridges, lymphocytic infiltrate

Answer 5

lichen planus

Question 5

lymphocytic infiltration in Histo ?

Answer 5

lichen planus

Question 6

Pruritic, Pink/Purple, Planar, Polygonal, Papules, Plaques

Answer 6

lichen planus

Question 7

“Lacy” white reticular deposits (Wickham striae)

Answer 7

lichen planus

Question 7

white area type ?

Answer 7

lichen planus

Question 8

hyperplasia of squamous epithelium ?

Answer 8

lichen simplex clonus

Question 8

no SCC risk ?

Answer 8

LSC

26.4.2025
7.16AM