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3. Conditions: Gynaecology > Vulval Intraepithelial Neoplasia and Vulval Cancer > Flashcards

Vulval Intraepithelial Neoplasia and Vulval Cancer Flashcards

1
Q

What is VIN?

A

Pre malignant state of vulval carcinoma

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2
Q

Risk factors of VIN?

A

HBV infection (younger)
LICHEN SCLEROSIS
Smoking
Paget’s disease

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3
Q

What type of cells are affected in vulval cancer?

A

Squamous cells

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4
Q

What are the symptoms of VIN?

A

Only really itching SO DDx for vaginitis

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5
Q

Investigations?

A

Vaginal exam

Punch biopsy

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6
Q

What type of lesions are present in VIN?

A

Raised papular/plaque lesions

Keratosis

Sharp border

Discolourisation

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7
Q

Treatment?

A

Surgery

Topical

Laser ablation

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8
Q

What topical agents can be used?

A

Imiquimod (HSV)

Cidofivir

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9
Q

Limit of laser ablation?

A

Better cosmetics

Increased chance of recurrence

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3. Conditions: Gynaecology (24 decks)

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