vulvar disease Flashcards
What is paget’s disease
Presents as velvety, patchy eczematous red and white lesion
Should do a wide local excision
Associated with adenocarcinoma, need radical vulvectomy if present
Histology: large cells with prominent nuclei and cytoplasm
Tumor marker CEA
What screening tests should be recommended to women with paget’s disease of vuvla
Mammogram
Colonoscopy
CT scan of abdomen (GU tumors)
What is lichen simplex chronicus? Dx? Tx?
Appears as erythematous scaling
“leathery, bark-like”
Eczema of vulva
Dx: clinical
Tx: pt education, topical corticosteroid
What is lichen sclerosis? Tx? Dx?
Cigerette paper in figure of eight pattern
Can lead to introital narrowing
Associated with vulvar squamous cell carcinoma
Dx: biopsy
Tx: initial–> med/high potency corticosteroid cream on a tapered regimen
What is lichen planus? Dx? Tx?
Burning, dyspareunia, soreness, itching, and increased discharge
Appearance: white, reticulate, lacy, fernlike striae (Wickham striae).
Oral involvement is common
Tx: high potency topical steroid
