Cancer and Pre-cancer of the Vulva

Table of Contents
List of contributors
Preface
1 Epidemiology: vulvar intraepithelial neoplasia (VIN) and
vulvar cancer 1
2 Pathology of preinvasive lesions of the vulva 13
3 Pathology of invasive vulvar lesions 30
4 Molecular and viral pathogenesis of vulvar cancer 47
5 Is vulvar intraepithelial neoplasia a precursor of cancer 67
6 Are non-neoplastic disorders of the vulva premalignant? 74
7 Vaginal intraepithelial neoplasia: presentation, diagnosis and
management 86
8 Clinical presentation and assessment of vulvar cancer 97
9 Surgery in the primary management of vulvar cancer 106
10 Role of radiotherapy in the management of vulvar cancer 120
11 Management of relapsed vulvar cancer 135
12 Reconstructive surgery in the management of vulvar cancer 142
13 Rare tumours of the vulva 151
14 Vaginal intraepithelial neoplasia: characteristics,
investigation and management 176
15 Vaginal cancer 188
16 Sexuality and quality of life for women with vulvar cancer
202
Index 209