VIN + vulval cancer Flashcards

1
Q

VIN

A

vulval intraepithelial neoplasia

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2
Q

common or uncommon?

A

uncommon but increasing with HPV incidence

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3
Q

peak age of PC

A

36yo

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4
Q

RFs

A

smoking
other GU neoplasia
prev malig
immunosuppression

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5
Q

PC

A

ITCH
lesion, erosion, wart
discolouration
keratitis roughened appearance

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6
Q

histology

A

punch biopsy

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7
Q

management

A
prevent cancer 
eliminate symptoms 
surveillance: emollients 
surgery 
topic tx: IMIQUIMOD, photodynamic therapy 
laser ablation
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8
Q

vulval cancer - aetio

A

very rare
prognosis is good
mostly SCC

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9
Q

vulval cancer PC

A

peak 74 yo
75% diagnosed over 60yo

  • itch
  • pain
  • lesion/ulcer
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10
Q

staging

A
  1. <2cm
  2. > 2cm
  3. unilateral nodes
  4. pelvic nodes
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11
Q

tx

A
individualised 
radical local excision 
uni/bi node excision 
radio 
chemo
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