VIN + vulval cancer Flashcards
1
Q
VIN
A
vulval intraepithelial neoplasia
2
Q
common or uncommon?
A
uncommon but increasing with HPV incidence
3
Q
peak age of PC
A
36yo
4
Q
RFs
A
smoking
other GU neoplasia
prev malig
immunosuppression
5
Q
PC
A
ITCH
lesion, erosion, wart
discolouration
keratitis roughened appearance
6
Q
histology
A
punch biopsy
7
Q
management
A
prevent cancer eliminate symptoms surveillance: emollients surgery topic tx: IMIQUIMOD, photodynamic therapy laser ablation
8
Q
vulval cancer - aetio
A
very rare
prognosis is good
mostly SCC
9
Q
vulval cancer PC
A
peak 74 yo
75% diagnosed over 60yo
- itch
- pain
- lesion/ulcer
10
Q
staging
A
- <2cm
- > 2cm
- unilateral nodes
- pelvic nodes
11
Q
tx
A
individualised radical local excision uni/bi node excision radio chemo