Vulvar Disease : A Clinicopathological Approach

Table of Contents
Preface v
Contributors ix
An Approach to the Evaluation of Vulvar Lesions and Complaints Bernadette Cracchiolo Gina Anderson 1
Anatomy 1
Etiology 1
Special Considerations 7
Evaluation 8
References 10
Normal Vulva and Developmental Anomalies James Scurry Kathleen Rita Melville 11
Anatomy 11
Histology 18
Embryology 29
Developmental Anomalies 30
References 34
Noninfectious Inflammation and Systemic Diseases of the Vulva Sallie M. Neill 37
Inflammatory Dermatoses 37
Erosive, Ulcerative, and Bullous Dermatoses 54
Miscellaneous 60
References 63
Vulvovaginal Infections Rachel Spieldoch Libby Edwards 67
Viral Infections 67
Bacterial Infections 77
Fungal Infections 93
Parasitic Infections 100
References 104
Pigmented lesions of the Vulva Hope K. Haefner TimothyM. Johnson Lorraine L. Rosamilia Douglas R. Fullen 109
Introduction 109
Mechanisms of Hyperpigmentation 110
Conditions with Pigmentation 110
Melanocytic Lesions 111
Conclusion 129
References 129
Neoplasms and Related Lesions of the Vulva Debra S. Heller 135
Cysts 135
Benign Tumor-Like Lesions 138
Benign Neoplasms 143
Preinvasive (In Situ) Neoplasms of the Vulva 157
Invasive Neoplasms of the Vulva 161
Benign Lesions of the Urethra 168
Malignant Lesions of the Urethra 176
References 176
Commentary Robert C. Wallach 181
Introduction 181
Lichen Sclerosus et Atrophicus 181
LSA and SCC 182
LSA Treatment 182
Vulvar Neoplasia 183
Pigmented Lesions 183
Vulvar Symptoms 184
Genital Mutilation 184
Genital Anatomy 185
References 185
Index 189