Fast Track

Vulvar dystrophies

• Lichen sclerosus

• Squamous cell hyperplasia
  Formerly “hyperplastic dystrophy”

• Other dermatosis

• Squamous cell carcinoma in situ
  May present clinically at any age as papules or macules, coalescent or discrete, single or multiple

• Paget’s disease of the vulva
  Clinicopathologic entity with a pathognomonic histologic appearance

  Source: Modified from Voet RL¹

There is no good evidence that women with lichen sclerosus face a higher risk for vulvar carcinoma

Vulvodynia pain may never subside completely

Hallmark of vestibulitis: Severe pain on touch, with tenderness localized within the vestibule in a horseshoe pattern

VIN lesions are hyper- or pseudopigmented in about 30% of cases

Biopsy is essential for correct diagnosis of vulvar intraepithelial neoplasia

Paget’s disease of the vulva often recurs, especially when the initial lesion is large