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Chapter-26 Premalignant and Malignant Disorders of the Vulva and Vagina

BOOK TITLE: A Comprehensive Textbook of Obstetrics & Gynecology

Author

1. Gupta Sadhana

ISBN

9789350251126

DOI

10.5005/jp/books/11278_25

Edition

1/e

Publishing Year

2011

Pages

Author Affiliations

1. Ultrasound, Infertility and In Vitro Fertilization (IVF) Specialist, Jeevan Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Gorakhpur, Uttar Pradesh, Bombay Hospital, Mumbai, Jeevan Jyoti Hospital and Medical Research Center and Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI 2011–2013; Jeevan Jyoti Hospital and Medical Research Center, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, Uttar Pradesh, India, Jeevan-Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India; FOGSI 2016, Jeeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI, 2016, FOGSI Representative to SAFOG, 2018-20; Safe Motherhood Committee, FOG

Chapter keywords

Abstract

Abstract

Vulvar intraepithelial neoplasm (VIN) are pre malignant lesions of vulva, which presents as pruritus and discoloration of vulva in age group of around 40 years. Colposcopic directed biopsy confirms the diagnosis. Excision and ablation are treatment modalities. Vulvar cancer is primarily found in postmenopausal women. Histology, staging, mode of spread and diagnostic methods of vulvar cancer are explained in text, tables and photographs. Surgery is main stay of treatment. Wide local excision, radical, partial and complete vulvectomy are surgical options. A brief review of variants of vulvar cancer is given in the chapter. Vaginal intraepithelial neoplasm (VaIN) has same risk factors as carcinoma cervix. Incidence, risk factors, screening and diagnostic methods and stage wise treatment are summarized in the chapter.

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