Vulvar Lesions Lecture Powerpoint

Question 1

Lower genital tract neoplasms is strongly linked with…

Answer 1

…cigarrete smoking

Question 2

Condyloma acuminatum

Answer 2

Epidermal manifestation of HPV virus infection genital warts

Question 3

Vulvar dysplasias usually appear as…

Answer 3

….red or white patches

Question 4

Paget’s disease will often wax and wane. But one important sign is that it…

Answer 4

….never fully goes away

Question 5

Basal cell carcinoma

Answer 5

Very rare, very itchy cacncer occuring on anterior 2/3 of labia majora with slightly elvevated margins

Question 6

Pruritus

Answer 6

Itchy

Question 7

Verrucous carcinoma

Answer 7

A cancer that does not respond to treatment for HPV, and is characterized by cauliflower growth pattern and slow growth (think leukoplakia)

Question 8

Invasive squamous cell carcinoma

Answer 8

Ulcerated growth on vulva appearing late in age, presents with painful ulceration

Question 9

How to distinguish between invasive squamous cell carcinoma of the vulva and syphilis lesion?

Answer 9

Syphilis DOES NOT hurt

Question 10

DES exposure and what 3 abnormalities it causes

Answer 10

A drug from the 50’s that affected women in utero at the tme when mom was taking it, can cause T shaped uterus, adenosis of cervix and vagina, and ectopic pregnancies

Question 11

When you find a new white lesion, always perform a…

Answer 11

…biopsy

Question 12

Tumors <1cm should make you think

Answer 12

• inflammation due to disease
• cysts
• neoplasia

Question 13

Tumors >1cm should make you think

Answer 13

• inflammatory due to bartholin’s cyst or abscess
• neoplasm
• hernia or adema