title: Prevention, identification and treatment of vulvar squamous (pre)malignancies: a review focusing on quality of care.
abstract: Vulvar squamous cell carcinoma, its precursor lesions (usual and differentiated vulvar intraepithelial neoplasia) and lichen sclerosus are rare diseases that may have a large impact on the lives of affected women and their partners. Proper identification is vital, but the lesions are sometimes difficult to diagnose because of their rarity and variety of symptoms. High quality of care and proper treatment is important in order to minimize the morbidity and mortality caused by these lesions. This review gives an outline of the latest insights regarding the current evidence in this area and unresolved issues. Additionally, it highlights the improvements that should be made in order to optimize prevention and identification of (pre-)malignant vulvar lesions and to increase the quality of care for these patients.
authors.affiliation: Department of Obstetrics and Gynaecology, Radboud University Medical Centre, Nijmegen, The Netherlands. l.vandeneinden@obgyn.umcn.nl
authors.forename: Loes Cg
authors.initials: LC
authors.lastname: van den Einden
authors.forename: Irene Am
authors.initials: IA
authors.lastname: van der Avoort
authors.forename: Joanne A
authors.initials: JA
authors.lastname: de Hullu
mesh_terms: D002278:Carcinoma in Situ / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D005260:Female; D006801:Humans; D018459:Lichen Sclerosus et Atrophicus / Q000150:complications; D011230:Precancerous Conditions / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D011787:Quality of Health Care; D014846:Vulvar Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*