VIN Flashcards

1
Q

VIN risk for Cancer

A
  • 9-18%
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2
Q

VIN types

A

Differentiated (post- meno, high risk)
Undifferentiated (pre-meno, low risk)

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3
Q

Classification of VIN

A

Add table

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4
Q

VIN signs

A
  • Raised red/white/keratotic lesions
  • Ulcerated or pigmented. - - Acetowhite changes on vulvoscopy
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5
Q

Biopsy findings VIN

A
  • Loss of organisation of sq epithelium
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6
Q

What is VIN associated with

A
  • CIN
  • Check cervic, vagina and perianal region
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7
Q

Treatment for VIN

A
  • Wide local excision
  • Imiquimod cream 5%
  • F/u yearly for 5 years
  • If multifocal- refer to colp
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8
Q

Risk of cancer

A
  • 12-17% invasive CA
  • 14-16% SCC in 5 years
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