Vargas-Hernández VM, Vargas-Aguilar VM

Language: Spanish
References: 9
Page: 134-137
PDF size: 175.30 Kb.

ABSTRACT

Vulvar intraepithelial neoplasia (VIN) is an increasingly common, especially in women aged 40 problem. The term VIN is used to indicate high-grade squamous lesions and is subdivided into VIN usual type VIN including warty, basaloid, and mixed VIN and differentiated. The VIN usual type VIN is commonly associated with oncogenic genotypes of human papillomavirus (HPV) and other risk factors for HPV persistence, such as smoking and immunosuppression or immunodeficiency, whereas differentiated VIN usually is not associated with HPV and is most often associated with vulvar skin diseases such as lichen sclerosus. Biopsy is indicated for any vulvar pigmented lesion and is suitable treatment for all cases of VIN, when discarded invasion hidden surgical treatment with laser ablation, or medical management with clinical control after resolution, at 6 and 12 months and then annually.

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