Skin, Mucosa and Menopause by Miranda A. Farage Kenneth W. Miller Nancy Fugate Woods & Howard I. Maibach

Author:Miranda A. Farage, Kenneth W. Miller, Nancy Fugate Woods & Howard I. Maibach
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

4.Biopsies where the pathologist expresses ‘concern’ but cannot make a definite diagnosis of differentiated VIN should be referred. In this setting the clinician can choose between a limited period of intensive medical therapy with follow-up biopsies and excision at the outset [69].

The following mnemonic may be helpful when assessing LS:L = labial changes (e.g. reduction or fusion)

I = introital changes (e.g. narrowing)

C = clitoral changes including phimosis

H = hyperkeratosis

E = elevated or eroded areas

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