Vulval cancer Flashcards
1
Q
Epidemiology of Vulval Intraepithelial Neoplasia
A
- very rare
- increasing in incidence in UK
- decreasing age at presentation due to HPV
2
Q
Presentation of Vulval Intraepithelial Neoplasia?
A
- raised papular plaques/ lesions
- sharp border
- rough, keratotic appearance
- discoloration
- erosions / nodules / warts
3
Q
Diagnosis of Vulval Intraepithelial Neoplasia?
A
- Punch biopsy
- histological diagnosis
4
Q
Risk Factors of Vulval Intraepithelial Neoplasia?
A
- other genital intra-epithelial neoplasia
- previous related malignancy
- immunosuppression
- smoking
5
Q
Management of Vulval Intraepithelial Neoplasia?
A
- surveillance
- prevent transformation to cancer
- eliminate symptoms
- preservation of sexual function
- preservation of body image
- topical treatments
- imiquimod / photodynamic therapy
- laser ablation
- co2 laser
- topical treatments
6
Q
epidemiology of Vulval Cancer?
A
- very rare
- 75% occurs in >60 y/o
- mainly SCC
7
Q
Main causes of Vulval Cancer?
A
- VIN
- Lichen Sclerosus (pic)
8
Q
Presentation of vulval cancer?
A
- pain
- bleeding
- itch
- lump / ulcer
9
Q
Treatment?
A
- surgery
- chemotherapy
- radiotherapy
