Vulvar Female assocaited malignacies Flashcards
1
Q
The vulva includes (parts) (4)
A
- vagina
- labia majora (outer lips)
- labia minora (inner lips)
- clitoris
2
Q
Vulvar Average age diagnosis is
A
70
3
Q
Vulvar Histology with percentages (4)
A
- Squamous (85%)
- Melanoma (5%)
- Sarcoma (2%)
- Others (8%)
4
Q
Etilolgy (2)
- Younger patients
- Older patients
A
- HPV
- History of vulvar inflammation or lichen sclerosis
5
Q
Other risk factors (6)
A
- smoking
- History of genital warts
- Leukoplakia
- Immune system deficiency
- Multiple sexual partners
- Intercourse at young age
6
Q
Vulvar Clinincal presentation for pre-cancerous
A
Asymptomatic
7
Q
Clinical presentation for advanced stage (7)
A
- Pruritus
- Palpable mass on vulva
- Pain
- Vaginal bleeding
- Ulceration
- Dysuria (pain when peeing)
- Discharge
8
Q
What should be done if the vulva looks abnormal
A
BIOPSY
9
Q
Vulvar Treatments are primarily ____. and include (3)
A
- Surgical
Wide local extraction
Radical Excision
Radical vulvecteomy with inguinal node dissection (uni and bi lateral)
10
Q
Radition is used after surgery if
A
2 or more nodes are invloved
11
Q
What is neoadjuvantly chemo used for
A
Used to shrink mass if close to a critical structure (clitoris, rectum urethra)
