A Practical Guide to Vulval Disease · Diagnosis and Management, Diagnosis and Management by Fiona M. Lewis,Fabrizio Bogliatto,Marc van Beurden -- Read -- Imperial Library of Trantor

Index

Cover Title Page Table of Contents Acknowledgements 1 The Normal Vulva

Normal vulval anatomy Normal vulval and vaginal flora Further reading Normal anatomical variants Normal changes over the lifetime Further reading

2 Taking a History and Examination

Taking a history Examination of the vulva Further reading

3 How to Take a Vulval Biopsy and the Importance of Clinico-Pathological Correlation

Incisional biopsy Fixation of the biopsy Further reading

4 Basic Histology of the Vulva

Special histological stains Immunohistochemical stains Other tests Further reading

5 Investigations in Vulval Disease

Investigations for infection Investigations for allergy Investigations for inflammatory disease Imaging investigations Useful web sites for patient information Further reading

6 Topical Treatment in Vulval Disease

Introduction General principles Topical treatments used for vulval disease Practice points Further reading Useful web sites for patient information

7 Symptoms in Vulval Disease

Pruritis (Itch) Causes of vulval pruritis Soreness Pain Dyspareunia Discharge No symptoms Useful web site for patient information

8 Signs in Vulval Disease

Differential Diagnosis Based on Appearance Algorithms Further reading

9 Eczema, Allergy and the Vulva

Seborrhoeic eczema Allergic Contact Eczema / Dermatitis Clinical features Irritant Eczema / Dermatitis Urticaria

10 Psoriasis

Introduction Incidence Clinical features Basic management When to refer Practice points Further reading Useful Web Sites for Patient Information

11 Lichen Simplex

Introduction Epidemiology Incidence Pathophysiology Histological features Symptoms Clinical features Basic management When to refer Practice points Further reading Useful Web Sites for Patient Information

12 Lichen Sclerosus

Introduction Incidence Pathophysiology Histological features Symptoms Clinical features Associated disease Risk of malignancy Basic Management Follow Up When to Refer Practice points Further reading Useful Web Sites for Patient Information

13 Lichen Planus

Introduction Epidemiology Incidence Pathophysiology Histological Features Clinical Features of Lichen Planus Vulval Lichen Planus Risk of Malignancy Basic management When to refer Practice points Further reading Useful Web Sites for Patient Information

14 Hidradenitis Suppurativa and Crohn's Disease

Hidradenitis Suppurativa Crohn’s disease

15 Disorders of Pigmentation on the Vulva

Introduction Postinflammatory Pigmentation Post-Traumatic Pigmentation Acanthosis Nigricans Melanosis Pigmented lesions Lentigines Benign naevi Atypical Genital Naevi Seborrhoeic Keratoses Pigmented Basal Cell Carcinoma (see Chapter 22) Hypopigmentation Vitiligo When to Refer Practice points Further reading Useful Web Sites for Patient Information

16 Other Dermatoses

Genetic disorders Auto-Immune Bullous Disease Drug Eruptions Manifestations of Underlying Disease Inflammatory ulcers Others

17 Vulval Infection – Sexually Transmitted

Normal flora Trichomoniasis Chlamydia Lymphogranuloma Venereum Gonorrhoea Syphilis Chancroid Donovanosis (Granuloma Inguinale) Herpes Simplex Infection Human Papillomavirus Infection Molluscum contagiosum Scabies Pubic lice

18 Vulval Infection – Nonsexually Transmitted

Bacterial Infections Bacterial Vaginosis Erythrasma Staphylococcal and Streptococcal Infections Folliculitis Bartholin abscess Other Staphylococcal Infections Cellulitis Other Streptococcal Infections Vulvovaginal Candidiasis Tinea cruris Viral infections

19 Vulval Intraepithelial Neoplasia

Introduction Epidemiology Aetiology Prevention Histological features Symptoms Clinical features Management Progression Melanoma in situ When to refer Practice points Further reading Useful Web Site for Patient Information

20 Extramammary Paget’s Disease

Introduction Epidemiology Histological features Classification Symptoms Clinical features Management Recurrences Progression Follow up When to refer Practice points Further reading Useful Web Site for Patient Information

21 Vulval Squamous Cell Carcinoma

Introduction Epidemiology Aetiology / histology Symptoms and Clinical Features Management Surgery Complications Radiotherapy Follow up Prognosis When to refer Practice points Further reading Useful Web Site for Patient Information

22 Other Vulval Cancers

Basal Cell Carcinoma Malignant melanoma Other Malignant Tumours and the Vulva

23 Vulvodynia

Definition Epidemiology Pathophysiology Psychological Aspects of Vulvodynia Histology Symptoms Signs Diagnosis Management Further reading Useful Web Sites for Patient Information

24 Psychosexual Aspects of Vulval Disease

Clinical Psychological Assessment Further reading

25 Benign Lesions

Epidermoid cysts Comedones Syringomata Hidradenoma Papilliferum Lymphangioma / Lymphangiectasia Further reading

Index End User License Agreement

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