The following is an excerpt....
BASICS
Description
A wide variety of pathologic processes can present as a vulvar mass.
These can be classified as benign, pre-cancerous, or malignant, although many
of these entities are points on a spectrum of disease. For example lichen
sclerosus can lead to vulvar epithelial neoplasia (VIN), which can progress
to squamous cell carcinoma.
- Benign disease:
- Benign tumors can be cystic (mucous cyst, Bartholin’s cyst),
anatomic (hernia), or solid (fibroma, lipoma).
- Infections and abscesses also can present as a mass.
- Premalignant disease:
- The undifferentiated type of VIN is associated with HPV infection
(especially subtypes 16 and 18) and often affects younger women.
- The differentiated type of VIN is often keratinizing and is associated
with lichen sclerosis but not with ...
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