MBchB study guide

Apr 25th, 2015
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COMMON BENIGN LESIONS OF THE LOWER GENITAL TRACTRefer to Meds. 573; Lower Genital tract infections VULVAVulval dystrophy1. Primary atrophyVulval skin atrophy, common at climacteric due to estrogen withdrawal. They present with Vulval soreness and dyspareunia. The skin looks red and shiny due to thinning and lack of keratin. The labia minora are shrunken with contracted introitus. Treat with HRT, topical steroids. Long-term follow-up due to risk of gradual hypertrophic changes.2. Lichen sclerosus et atrophicusThickened ivory-coloured skin, often symmetrical and extend onto adjacent parts of thigh and perineal region. There is hyperkeratosis; increased keratin layer. Presents with intense pruritus. Consider biopsy. No specific treatment except symptomatic or by excision of lesion- simple vulvectomy.3. Hypertrophic dystrophyCan be mild, moderate or severe with potential of malignant change. Restricted to the labia majora, labia minora, introitus and prepuce of the clitoris.Manifests with irregular patches of hypertrophied skin, white patches of thickened keratin. Biopsy from several sites for histologic diagnosis. Symptomatic treatment or by excision of lesion- simple vul

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