[A new classification of vulvar intraepithelial neoplasia (VIN)].
Vulvar cancer is a rare disease and its screening is depending on the quality and the relevance of our clinical examination. Incidence of vulvar cancer and especially precancerous lesions, vulvar intraepithelial neoplasias (VIN), increased during these last years. The new terminology of vulvar intraepithelial neoplasia will help us to identify high risk groups which could develop a cancer: usual and differentiated VIN. An early diagnosis is essential to propose an adequate treatment. Management is a major point according to the rising incidence of these lesions in younger women. Until we can observe a benefit from the vaccination against human papillomavirus, we must increase the quality of screening by a careful examination of the vulva.
Gerber
Stefan
S
Département de gynécologie-obstétrique, CHUV, 1011 Lausanne. stefan.gerber@chuv.ch
Tonna Sienkiewicz
Denise
D
Delaloye
Jean François
JF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D002278:Carcinoma in Situ / Q000145:classification* / Q000175:diagnosis; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis; D003127:Colposcopy; D003218:Condylomata Acuminata / Q000175:diagnosis; D003937:Diagnosis, Differential; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008403:Mass Screening; D011230:Precancerous Conditions / Q000145:classification / Q000175:diagnosis; D014845:Vulvar Diseases / Q000175:diagnosis; D007724:Vulvar Lichen Sclerosus / Q000175:diagnosis; D014846:Vulvar Neoplasms / Q000145:classification* / Q000175:diagnosis