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….
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…
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…
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…
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…
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…
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…
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)…
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,…
Dilatation of preexisting vessels Acquired lymphangiectasis Vulvar varices (venous lake) Angiokeratoma Vascular hyperplasias Pyogenic granuloma (lobular capillary hemangioma) Intravascular papillary endothelial hyperplasia (Masson’s tumor) Benign neoplasms Hemangioma Infantile hemangioma Congenital…
