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Chapter-14 Benign Vulvar Conditions

BOOK TITLE: Postgraduate Gynecology

Author
1. Presannakumari B
ISBN
9789350250822
DOI
10.5005/jp/books/11360_14
Edition
1/e
Publishing Year
2011
Pages
7
Author Affiliations
1. Medical College, Thiruvananthapuram, Kerala, India
Chapter keywords

Abstract

Most vulvar lesions occur commonly in postmenopausal women with itching and soreness being the major symptoms. Depending upon gross changes occurring in the vulva, several conditions had been described previously. These are leukoplakia, lichen sclerosus et atrophicus, atrophic and hyperplastic vulvitis and kraurosis vulvae. Later it was noticed that malignancies rarely occur in these conditions. Malignant changes can be predicted by the presence of cellular atypia at biopsy of the lesion. However, if there is associated lichen sclerosus, risk of malignancy is more (5%).1 In 1966, Jeffcoat coined the term chronic vulvar dystrophy to include all these conditions, as the epithelial changes in these conditions are variable and interchangeable. To make management simple, the International Society for the Study of Vulvar diseases (ISSVD) recommended a new system to study such vulvar lesions. The ISSVD2 recommended that the term dystrophy be replaced by ‘non-neoplastic epithelial disorders of the skin and mucosa

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