Figure 1
Distribution of vulvar lesions. A spectrum of lesions was observed ranging from infections to malignancy. Viral lesions amongst the infective category were Condyloma Accuminatum (2 cases) presenting as warty polypoidal lesion near vaginal introitus [Figure 2(A)], Molluscum Contagiosum (2 cases) presenting as typical umbilicated pearly white nodules [Figure 2(B)] and one superficial ulcerative lesion (Herpetic ulcer) over labia majora in immunocompromised patient [Figure 2(C)]. Other infective lesion was very unusual; presenting as large destructive, foul smelling ulcer involving both majora and minora which was diagnosed as Amoebic ulcer.
Source publication
Background: A wide variety of inflammatory, premalignant and malignant lesions can occur on the vulva. Some of the lesions are limited to the vulva, while some also involve other parts of the body. Although vulvar diseases can cause a significant issue in the patients, they are less commonly discussed than those of cervix, uterus and ovary. Most of...
Context in source publication
Context 1
... of the total 34 cases included in the study, 50% (17 cases) were of Non neoplastic category and the rest were Neoplastic and Precursor category including benign and malignant neoplasms as well as Vulval intraepithelial lesions. The non-neoplastic group was further subdivided into infectious and non-infectious inflammatory lesions and a miscellaneous category (Table 1 and Figure 1). Commonest non-infective condition seen in the study was Lichen Sclerosus Atrophicus (8 cases) accounting for 23.52% of the total. ...
Citations
A wide spectrum of normal, benign, premalignant, and malignant lesions may occur on the vulva. Symptoms of vulvar disorders may be non-specific. Empiric treatment of vulvovaginal symptoms is common but usually not helpful. Though the varied clinical presentation and diverse histopathological spectrum of vulvar lesions have amazed Pathologists, only a few studies have been reported in the literature. The present study consists of a histopathological spectrum of vulvar lesions.
1.To evaluate the histopathological spectrum of vulvar lesions. 2. To compare the incidences of non-neoplastic and neoplastic lesions of the vulva.
Present study includes all types of vulvar lesion specimens received in the Department of pathology over a period of four years.
All thirty-nine vulvar biopsies received in the Department of Pathology were studied for histomorphologic features. The lesions were categorized as non-neoplastic, neoplastic. The neoplastic ones were further divided into benign, malignant, and premalignant. The age of the women ranged from 15 to 69 years (mean 36.18±12.71) with the maximum number of patients between 30 to 40 years of age. Non neoplastic lesions were more common (22; 56.4%) than the (17; 43.6%) neoplastic lesions. There were 15(38.5%) benign lesions while 2 cases (5.13%) were malignant. Among the non-neoplastic lesions, Bartholin's duct cyst was the most common histopathologic diagnosis (35.9%). The fibroepithelial polyp was the most common benign neoplastic lesion constituting 15.3%.
In the present study nonneoplastic lesions were more common than neoplastic lesions. Among the neoplastic lesions, benign neoplasms were more frequent than malignant lesions.
