Vulval cancer Flashcards
What are the types of vulval intraepithelial neoplasia?
HPV related
Non HPV related
Describe HPV related VIN?
Younger women
Multiple sites and lesions
Describe non HPV related VIN
Older women
Single lesion
What are the risk factors for VIN?
HPV 16 and 18
Smoking
Previous related malignancy
Immunosuppression
What is the presentation of VIN?
Raised papule, plaque or lesion- keratitis rough appearance, sharp border, discolouration
Severe itch
How is VIN diagnosed?
Punch biopsy
How is VIN managed?
surgery
Topical treatment
Laser ablation
What are the types of vulvar cancer?
Mainly SCC
Can be BCC, melanoma, Bartholin’s gland
Who is vulvar cancer seen in?
75% >65yo
What are the risk factors for vulvar cancer?
VIN
HPV 16 and 18
Lichen sclerosus
Immunosuppression
What is the presentation of vulvar cancer?
Lump/ulcer
Associated with itch, pain, bleeding
What is the management of vulvar cancer?
Surgery
Chemo
Radio
