Microbiology Laboratory
CHAPTER 11 Microbiology Laboratory Outline Colony Counts Antimicrobial Susceptibility Testing Objectives At the end of this chapter, the reader should be able to do the following: 1. Calculate the colony forming…
Inflammatory Dermatoses Affecting the Dermis or Both the Epidermis and Dermis of the Vulva
Fig. 5.1 Lichen planus. Introital erythema with small foci of ulceration showing well-demarcated borders (Courtesy of Department of Dermatology, Hospital de la Santa Creu i Sant Pau, Badalona, Spain) Fig….
Inflammatory Disorders Affecting the Epidermis of the Vulva
Fig. 3.1 Contact dermatitis showing eroded vesicles on all three skin types ACD usually presents with pruritus [3, 18–21]. Skin may be normal, erythematous, or edematous with vesicles and blisters…
Squamous Intraepithelial Lesions of the Vulva
1986 ISSVD 2004 ISSVD LAST 2012 ISGYP/WHO 2013 Condyloma Condyloma LSIL (VIN 1) LSIL (VIN 1) VIN 1 – VIN 2 Warty VIN Usual type (u-VIN) HSIL (VIN 2-3) HSIL…
Cysts, Glandular Lesions, and Others
Anogenital mammary-like glands1 Sweat glands1 Hair follicles and sebaceous glands1 Bartholin glands Minor vestibular glands Paraurethral (Skene) gland Mesonephric duct remnants Cloacogenic remnants Endometriosis 1See Chap. 11 Bartholin Gland In…
Fibrous/Myofibroblastic Proliferations of the Vulva
Age Location Clinical presentation Gross Microscopic features Ancillary tests Fibroepithelial stromal polyp Reproductive age Vulvovaginal region Single mass Flesh-colored mass covered with skin Fibrous tissue and blood vessels Positive…
Tumors of Smooth Muscle, of Skeletal Muscle, and of Unknown Origin and Tumor-Like Conditions of the Vulva
Criteria • Size > 5 cm • ≥ 5 mitotic figures per 10 high-power fields • Infiltrative edges • Moderate or severe cytologic atypia • Coagulative necrosisa Number of criteria met Diagnosis 0–1b Leiomyoma 2…
Infectious Diseases and Infestations of the Vulva
Fig. 6.1 Herpes viral simplex infection. Clinically, it presents as multiple grouped vesicles with an erythematous base Originally, HSV shedding was thought to be infrequent given the low rate of…
Squamous Cell Carcinoma of the Vulva
Type of vulvar SCC HPV-positive SCC HPV-negative SCC Age 35–65 years 55–85 years Risk factors Anogenital warts Lichen sclerosus Smoking Alcohol use Focality Multifocal Single focus Associated VIN Usual (warty/basaloid)…
Pigmentary Alterations and Benign Melanocytic Lesions of the Vulva
Fig. 7.1 Vulvar melanosis. An asymmetric, poorly circumscribed, variegated patch mimicking melanoma is evident (left panel). Histopathologically, vulvar (genital) melanosis exhibits, in most cases, increased melanization of the basal keratinocytes,…
