E2/L11 - Vulva & Vagina Benign/Malignant Conditions

Question 1

most common cyst, mobile, nontender, spherical, slow growing; from hair follicles becoming obstructed or lacerations from childbirth

Answer 1

Inclusion Cysts (epidermal is most common)

Question 2

erythematous vulvar punctate dots that are extremely tender, dyspareunia, vulvar pain, tx w/ topical estrogens or hydrocortisone

Answer 2

Vulvar vestibulitis

Question 3

Most common benign solid tumor of the vulva; slow growing, can become gigantic

Answer 3

Fibroma

Question 4

urethral prolapse in children or secondary to menopause introitus atrophy

Answer 4

urethral caruncle

Question 5

Trauma lesions in the vulva; located collections of blood; normally resolve on their own

Answer 5

Vulvar Hematomas

Question 6

Minor regresses, majora shrinks, loss of vaginal rugae, introitus constriction; tx w/ topical or oral estrogen

Answer 6

Atrophic vaginitis

Question 7

Local thickening, squamous cell hyperplasia, pruritus, elongated rate ridges, hyperkeratosis, thickened leathery raised area that is white or reddish

Answer 7

Lichen Simplex Chronicus

Question 8

Incr. risk of squamous cell carcinoma; incr. pruritus, LOSS of rete ridges, cigarette paper/thin epithelium, shrinking of labia, constriction of introitus

Answer 8

Lichen Sclerosis

Question 9

Exposure to DES

Answer 9

Vaginal Adenosis (columnar cells surrounded by squamous epi)

Question 10

Bartholin Gland Abscess Tx

Answer 10

1) Word Catheterization: drain glandular secretions by promoting new epithelialized tract
2) Marsupialization: Create new ductal opening