These 2 documents contain summaries of the material provided for theme 10- Problems in pelvis. Material from all 3 weeks is covered. The topics include: embryology, anatomy, surgery, paediatrics, gynaecology, pelvic disorders
Clinical picture
Pruritus, soreness, pain, burning, urinary + defecation
problems *, bleeding, blistering
*common in prepubertal due to soreness and itch
10-20% white papules on body
1. Elderly women due to LS
2. Younger women due to HPV 16/18 which results to HSIL
Most common malignant vaginal tumors in cervical carcinoma
spreading. Primary vaginal lesions rare
All primary vaginal carcinomas (1% of ♀ cancers)
Vulvar cancer spreads to inguinofemoral lymph nodes
Clinical picture
Grey-white discolorations with roughed surface
Vulvar mass (+pruritus)
Bleeding, discharge, dysuria
Invasive tumors affect mainly upper vagina
Incision or punch biopsy
Excision surgery
Basal cell carcinoma BCC
2nd most common vulvar malignancies
75 years
Rarely metastasize - Good prognosis
Wide local excision
Embryonal rhabdomyosarcoma
< 5 years
Invade locally and fatal due to penetration into the peritoneal cavity or obstruction of urinary tract
"grapelike" polypoid, rounded, bulky
Conservative surgery with chemo
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