Vulva Witrak Flashcards
What is a unilateral swollen vulva (tumefaction of the vulva) with an abscess called?
Bartholin gland disease (cyst)
What causes Bartholin gland disease?
Bartholin duct obstruction
A 23yo female comes in with a painful lump on one side of her vulva. How should this be treated?
Bartholin gland disease is treated by Incision, drainage, or excision
What is papillary hidradenoma?
A benign labial neoplasm that may ulcerate
What might be the underlying cause to a papillary hidradenoma?
Ectopic breast tissue in milk line
What is a warty neoplasm of the vulva? What causes it?
Condyloma is caused by HPV
A premenopausal patient presents with itching, burring, pain, and abnormal coloration (white, red, or dark) of her vulva. What does she have? What is the likely cause?
This patient likely has Vulvar Intraepithelial Neoplasia (VIN) caused by HPV (16, 18, or 33)
A postmenopausal patient presents with itching, burring, pain, and abnormal coloration (white, red, or dark) of her vulva. What does she have? What is the likely cause?
This patient likely has Vulvar Intraepithelial Neoplasia (VIN) caused by either lichen sclerosis or lichen simplex chronicus
What is the difference between the leukoplakias, lichen simplex chronicus and lichen sclerosis?
Lichen simplex chronicus is thick and leathery
Lichen sclerosis is paper thin
What causes the leukoplakias?
Infection (candida + STD)
How does vulvar carcinoma usually present?
Unifocal plaque, ulcer, or mass
A postmenopausal white woman presents with an itchy, reddish/eczemetoid vulva. What is the likely diagnosis?
She likely has Extra-mammary Paget’s disease
What kind of cells are malignant in extra-mammary Paget’s disease?
Epithelial cells in the epidermis…NOT squamous
Other than extra-mammary Paget’s disease, there are two other non-sqamous malignancies of the vulva. What are they? Which one has metastatic potential?
Soft tissue sarcomas and Deep angiomyxoma are non-squamous malignancies
Soft tissue sarcoma has metastatic potential
