Journal List > Korean J Obstet Gynecol > v.53(12) > 1006368

Koh: Management of skin lesion of female external genitalia

Abstract

Patients with vulval symptoms are met frequently in gynaecological practice. The complaint is often long-standing and distressing and frequently induces a feeling of despair in both patient and doctor. The diagnosis and management of vulval dermatoses require such a multidisciplinary approach and the importance of this has been amply demonstrated by the evolution of combined clinics. Vulval disease in many societies can be the subject of unnecessary and exaggerated shame and embarrassment, hence their frequency and importance have been underestimated.

Figures and Tables

Table 1
Classification of vulval diseases (ISSVD and ISGP in 1986)
kjog-53-1047-i001

ISSVD: International Society for Study of Vulvar Disease, ISGP: International Society of Gynecological Pathologists.

Table 2
Gengeral view of external genitalia examination
kjog-53-1047-i002
Table 3
Biopsy of the vulva
kjog-53-1047-i003

References

1. Aneiros-Fernández , Gonzalez-Saavedra JA, Girón-Prieto MS. Pigmentation iatrogenic (amalgram) and Fordyce spots of the oral mucosa. J Am Acad Dermatol. 2010. 62:AB122–AB130.
2. Bracco GL, Carli P, Sonni L, Maestrini G, De Marco A, Taddei GL, et al. Clinical and histologic effects of topical treatments of vulval lichen sclerosus. A critical evaluation. J Reprod Med. 1993. 38:37–40.
3. Pokorny SF. Prepubertal vulvovaginopathies. Obstet Gynecol Clin North Am. 1992. 19:39–58.
4. Gupta R, Manchanda RK, Arya BS. Homoeopathy for the treatment of lichen simplex chronicus: a case series. Homeopathy. 2006. 95:245–247.
5. Porter SR, Kirby A, Olsen I, Barrett W. Immunologic aspects of dermal and oral lichen planus: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997. 83:358–366.
6. Rennie JS, Reade PC, Hay KD, Scully C. Recurrent aphthous stomatitis. Br Dent J. 1985. 159:361–367.
7. Sakane T, Takeno M, Suzuki N, Inaba G. Behcet's disease. N Engl J Med. 1999. 341:1284–1291.
8. Sexually transmitted diseases treatment guidelines 2002. MMWR Recomm Rep. 2002. 51(R-66):1–78.
9. Corey L, Wald A, Patel R, Sacks SL, Tyring SK, Warren T, et al. Once-daily valacyclovir to reduce the risk of transmission of genital herpes. N Engl J Med. 2004. 350:11–20.
10. Chosidow O. Scabies and pediculosis. Lancet. 2000. 355:819–826.
11. Stacy D, Burrell MO, Franklin EW 3rd. Extramammary Paget's disease of the vulva and anus: use of intraoperative frozen-section margins. Am J Obstet Gynecol. 1986. 155:519–523.
12. Finan MA, Barre G. Bartholin's gland carcinoma, malignant melanoma and other rare tumours of the vulva. Best Pract Res Clin Obstet Gynaecol. 2003. 17:609–633.
13. Rutledge F, Sinclair M. Treatment of intraepithelial carcinoma of the vulva by skin excision and graft. Am J Obstet Gynecol. 1968. 102:807–818.
TOOLS
Similar articles