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Disorders of the Female Genitalia

Nonneoplastic Epithelial Disorders of the Vulva
»	What is lichen sclerosus (also known as lichen sclerosus et atrophicus)?
»	Describe the clinical signs of lichen sclerosus of the vulva.
»	What are the symptoms of lichen sclerosus?
»	Is there a need to biopsy lichen sclerosus of the vulva?
»	How does one treat lichen sclerosus?
»	What is the differential diagnosis of lichen sclerosus of the vulva?
»	What is lichen planus?
»	Are there different variants of lichen planus that affect the vulva?
»	What are the clinical symptoms of vulval lichen planus?
»	Is lichen planus associated with malignancy?
»	How do you treat lichen planus of the vulva?
»	Describe lichen simplex chronicus of the vulva.
»	Psoriasis can be present on the vulva. How does it present?
»	How is psoriasis of the vulva treated?
»	What are other common causes of vulvar pruritus?
»	Name some common vulvovaginal infections associated with pruritus?
»	Compare and contrast condyloma accuminatum and molluscum contagiosum.
Vasculitic Disease of the Vulva
»	What is Behçet’s disease?
»	What is the treatment for Behçet’s disease?
Neoplastic Disorders of the Vulva
»	What is the most common cancer of the vulva?
»	Is squamous cell carcinoma of the vulva associated with a precancerous state?
»	How long does it take VIN to progress to squamous cell carcinoma of the vulva?
»	How does one treat VIN/SCC of the vulva?
»	What is the second most common vulvar malignancy?
»	How does melanoma of the vulva present?
»	Are melanomas of the vulva more aggressive than other cutaneous melanomas?
»	What is the treatment of melanoma of the vulva?
»	What is Paget’s disease of the vulva?
»	How does Paget’s disease of the vulva present?
»	What is the differential diagnosis of Paget’s disease?
»	How does one treat Paget’s disease of the vulva?

How does one treat VIN/SCC of the vulva?

VIN is treated mostly with surgical excision. Using topical imiquimod is also becoming more common. SCC of the vulva is treated surgically, usually by a gynecologic oncologist. Adjuvant therapy may include regional lymphadenectomy, chemotherapy, and radiation.