Exam (elaborations)
Gynecologic Carcinoma: Vulvar, Vaginal, and Uterine Cancer
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Gynecologic Carcinoma: Vulvar, Vaginal, and Uterine Cancer
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Gynecologic Carcinoma: Vulvar, Vaginal, and Uterine Cancer1. True or false: the typical appearance of many skin diseases involving the
vulva often appear altered because it has a unique environment
characterized by many different factors (temp, occlusion, friction, moisture,
flora) and be- cause of the labia minoras propensity for scarring: true
2. What is the function of Bartholin's glands?: secrete a mucus like
substance that lubricates the vaginal orifice
3. What happens if Bartholin's glands ducts become blocked by a mucus
plug or STI?: results in a cyst and if cyst becomes infected it becomes
an abscess
(blockage -> cyst: infection -> abscess)
4. What is the clinical presentation of a Bartholin's gland cyst vs abscess
in females of reproductive age?: cyst = unilateral painful mass &
swelling
abscess = unilateral mass w/severe pain & erythema
drain the
5. What is the treatment for a Bartholin's gland cyst or abscess?:
cyst
or tack open the abscess wall (marsupialization)
, 6. What is vulvar lichen sclerosis?: thinning of the epidermis and fibrosis
of the dermis in the genital and anal regions
7. What is the clinical presentation of vulvar lichen sclerosis?: pain &
itching of the vulva
leukoplakia = porcelain white plaque with a red-
purple border parchment paper thin epidermis
8. What pt population most often develops vulvar lichen sclerosis?:
post- menopausal women aged 60+
9. True or false: vulvar lichen sclerosis is associated with a small increase
in the risk of SCC of the vulva or anus: true
10.What is the treatment for vulvar lichen sclerosis?: topical steroid
11.What is lichen simplex chronicus?: hyperplasia and thickening
(lichenifica- tion) of the vulva as a result of frequent scratching with
histamine release
itch-scratch cycle
12. What pt population most often develops lichen simplex chronicus?: -
women aged 30-50
13.True or false: there is NO increased risk of malignancy associated
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