Myths and truths. High grade vulvar intraepithelial injury

Authors

  • Antonella María Cilio General Hospital for Acute J.M. Ramos Mejía, Autonomous City of Buenos Aires

DOI:

https://doi.org/10.47196/da.v29i1.2427

Keywords:

vulvar lesion

Abstract

1. The etiologic agent of high-grade vulvar intraepithelial lesion (HSIL) is high-risk human papillomavirus (HPV). Persistent infection confers a risk of progression to invasive vulvar cancer.

2. HSIL lesions are characterized by their pink color and are always symptomatic (itching or pain).

3. Topical imiquimod is the first-line treatment in immunocompetent women with unifocal lesions.

Author Biography

Antonella María Cilio, General Hospital for Acute J.M. Ramos Mejía, Autonomous City of Buenos Aires

Dermatology Resident Physician

References

I. Lebreton M, Carton I, Brousse S, Lavoué V, et ál. Vulvar intraepithelial neoplasia: Classification, epidemiology, diagnosis, and management. J Gynecol Obstet Hum Reprod. 2020; 49:101801.

II. Andía D, Bosch JM, Cararach M, Coronado P, et ál. AEPCC‐Guía: Neoplasia vulvar intraepitelial (VIN). Asociación Española de Patología Cervical y Colposcopia 2015:1-39.

III. Voss FO, van Beurden M, Jordanova ES. Topical imiquimod as fist-line treatment for vulvar intraepithelial neoplasia. Lancet. 2022;399:1755-1757.

Published

2023-04-01

Issue

Section

Young Dermatologists