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

Korean J Obstet Gynecol. 2010 Dec;53(12):1047-1051. Korean.
Published online December 21, 2010.  https://doi.org/10.5468/kjog.2010.53.12.1047
Copyright © 2010 Korean Society of Obstetrics and Gynecology
Management of skin lesion of female external genitalia
Suk Bong Koh, M.D.
Department of Obstetrics and Gynecology, The Catholic University of Daegu School of Medicine, Daegu, Korea.

Corresponding author (Email: sbko@cu.ac.kr )
Received October 08, 2010; Accepted November 23, 2010.

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.

Keywords: Female; External genitalia; Skin lesion; Management

Tables


Table 1
Classification of vulval diseases (ISSVD and ISGP in 1986)
Click for larger image


Table 2
Gengeral view of external genitalia examination
Click for larger image


Table 3
Biopsy of the vulva
Click for larger image

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.