Benign and Malignant Conditions of Vulva and Vagina

Question 1

What is the Tx for Labial Agglutination

Answer 1

E cream massage

Question 2

Sx’s = pruritic, raised yellow cyst in axilla and labia

Answer 2

Fox-Fordyce Disease

Question 3

Sx’s = Painless mass in lower outer region of labia majora

Answer 3

Bartholin cyst

Question 4

Sx’s = painful mass in lower outer region of labia majora

Answer 4

Bartholin abscess

Question 5

Sx’s = mobile, non-tender, spherical mass from obstructed hair follicle

Answer 5

Inclusion cyst

Question 6

Lentigo and Nevi

Answer 6

Freckles and Moles

Question 7

Sx’s = small, red outgrowth at distal edge of urethra

Answer 7

Urethral caruncle

Question 8

Sx’s = tender, erythematous dots causing severe introital dyspareunia

Answer 8

Vulvar vestibulitis

Question 9

Sx’s = smooth, small, nodular masses on inner surface of labia containing cheese-like material

Answer 9

Sebaceous cyst

Question 10

What is the most common genital cyst

Answer 10

Inclusion cyst

Question 11

What is the most common benign solid tumor of the vulva

Answer 11

Fibroma

Question 12

Sx’s = slow growing mass of adipose cells

Answer 12

Lipoma

Question 13

Sx’s = atrophy of external genitalia d/t loss of E

Answer 13

Atrophic vaginitis

Question 14

Sx’s = thickened, leathery, raised surfaces from prolonged itching

Answer 14

Lichen chronicus

Question 15

Biopsy of Lichen chronicus =

Answer 15

Elongated rete ridges

Question 16

Sx’s = pruritic, onion-skin, cigarette paper, parchment-like patches on vulva of postmenopausal women

Answer 16

Lichen sclerosis

Question 17

Biopsy of Lichen sclerosis =

Answer 17

Loss of rete ridges

Question 18

Sx’s = purple, polygonal papules that may appear in erosive form with vulvar burning and severe insertional dyspareunia

Answer 18

Lichen planus

Question 19

Sx’s = velvety appearance on vulva

Answer 19

Psoriasis

Question 20

Sx’s = erythematous presentation

Answer 20

Eczema

Question 21

Sx’s = autoimmune blistering disease

Answer 21

Pemphigus

Question 22

Sx’s = ulcerations in genital and oral areas with uveitis

Answer 22

Bechet’s syndrome

Question 23

Sx’s = ulcers d/t chronic pressure or tissue being moist from urinary incontinence

Answer 23

Decubitus ulcer

Question 24

Sx’s = sac-like projections in anterior vagina along posterior urethra

Answer 24

Urethral diverticula

Question 25

What are some recurring issues that urethral diverticula can cause

Answer 25

UTI Dysuria Urinary leaking

Question 26

Sx's = infolding of vaginal epithelium along post/lat wall of lower 1/3 of vagina

Answer 26

Inclusion cyst

Question 27

What is the most common vulvovaginal tumor and is usually u/l

Answer 27

Bartholin cyst

Question 28

What is the most common Sx of vulvar neoplasms

Answer 28

Long-standing Hx of vulvar pruritis

Question 29

Sx's = pruritus, elevated lesions with "warty" appearance

Answer 29

Vulvar Intraepithelial Neoplasia

Question 30

What is the difference between "usual" and "differentiated" types of VIN

Answer 30

``` Usual = assc with HPV 16, smoking, immunosuppressed Differentiated = not assc with HPV 16 or smoking ```

Question 31

Sx's = itching, tenderness, and eczematoid red appearance with white plaque lesions that may also appear around nipples

Answer 31

Paget's disease

Question 32

Sx's = lesions on labia minor and clitoris in postmenopausal white women

Answer 32

Malignant melanoma

Question 33

Sx's = cauliflower-like lesions

Answer 33

Verrucous carcinoma

Question 34

What is contraindicated in the Tx of Verucous carcinoma

Answer 34

Radiation

Question 35

Sx's = painless mass with no Hx of bartholin disease

Answer 35

Bartholin gland carcinoma

Question 36

In what population of women would you most likely see Vaginal Intraepithelial Neoplasia

Answer 36

Women w/ abnormal pap, hysterectomy, or no cervical lesions

Question 37

Sx's = abnormal vaginal discharge/bleeding, hematuria in women around 60 yo

Answer 37

Carcinoma of the vagina

Question 38

Sx's = vaginal discharge, fishy odor that gets worse after sex, clue cells

Answer 38

Bacterial Vaginosis

Question 39

Which organism causes Bacterial vaginosis

Answer 39

Gardnerella Vaginalis

Question 40

Sx's = pruritus, burning, irritation, and cottage-cheese like discharge with hyphae and budding yeast

Answer 40

Vaginal Candidiasis

Question 41

Which organism causes Vaginal candidiasis

Answer 41

Candida Albicans

Question 42

Sx's = dyspareunia, dysuria, vulvar pruritus, strawberry cervix, green/yellow frothy discharge and motile organisms

Answer 42

Trichomoniasis

Question 43

Which organism causes Trichomoniasis

Answer 43

Trichomona Vaginalis

Question 44

What are the risk factors for Bacterial vaginosis

Answer 44

New/multiple sex partners Smoking IUD Douching

Question 45

What are the risk factors for Vaginal candidiasis

Answer 45

Increased E levels DM ABX, steroids Immunosuppressed

Question 46

What are the risk factors for Trichomoniasis

Answer 46

Unprotected sex