OnlineMedEd: Gynecology - "Vaginal/Vulvar Cancer" Flashcards Preview

MS3 - Women's Care > OnlineMedEd: Gynecology - "Vaginal/Vulvar Cancer" > Flashcards

Flashcards in OnlineMedEd: Gynecology - "Vaginal/Vulvar Cancer" Deck (5)
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1
Q

What are the three vulvar/vaginal cancers?

A
  • SCC
  • Melanoma
  • Paget’s
2
Q

SCC and melanoma both present with __________ lesions.

A

black and itchy

3
Q

How does Paget’s disease present?

A

It is a RED and itchy lesion –different from the other two.

4
Q

Typically, ____________ can be treated with wide local resection while the other two vulvar cancers necessitate vulvectomy with lymph node resection.

A

Paget’s disease

5
Q

In general, how should you approach a vulvar lesion?

A
  • First, look for signs of infection (fever, discharge, recent risky sexual behavior, systemic symptoms). If these are present and the lesion looks like an infection – such as an HSV ulceration, HPV condyloma acuminata, syphilis condyloma lata, etc. –then treat the infection. No biopsy is needed.
  • Second, if there are no signs of infection and the lesion looks neoplastic, get a biopsy! This will tell you what it is and then you decide how to treat.

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