Vulva - Revision history

Mikael Häggström:

2022-12-04T15:41:54Z

← Older revision		Revision as of 11:41, 4 December 2022
Line 1:		Line 1:
	{{Top		<noinclude>{{Top
	\|author1=[[User:Mikael Häggström\|Mikael Häggström]]		\|author1=[[User:Mikael Häggström\|Mikael Häggström]]
	\|author2=		\|author2=
	}}		}}</noinclude>
	==Gross processing==		==Gross processing==
	Generally as per '''[[skin]]'''.		Generally as per '''[[skin]]'''.
Line 122:		Line 122:
	\|Distant metastasis (including to pelvic lymph nodes)		\|Distant metastasis (including to pelvic lymph nodes)
	\|}		\|}
	{{Bottom}}		<noinclude>{{Bottom}}</noinclude>

Mikael Häggström: /* Microscopic examination */ px

2022-06-19T17:01:43Z

Microscopic examination: px

← Older revision		Revision as of 13:01, 19 June 2022
Line 7:		Line 7:

	==Microscopic examination==		==Microscopic examination==
	[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|~~220px~~\|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]		[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|320px\|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]
	Mainly look for squamous vulvar intraepithelial lesions:		Mainly look for squamous vulvar intraepithelial lesions:

Mikael Häggström: /* Microscopic examination */ px

2022-06-19T17:01:18Z

Microscopic examination: px

← Older revision		Revision as of 13:01, 19 June 2022
Line 7:		Line 7:

	==Microscopic examination==		==Microscopic examination==
	[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]		[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|220px\|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]
	Mainly look for squamous vulvar intraepithelial lesions:		Mainly look for squamous vulvar intraepithelial lesions:

Mikael Häggström: /* Staging of vulvar cancer */ Duplicate

2022-04-07T20:08:45Z

Staging of vulvar cancer: Duplicate

← Older revision		Revision as of 16:08, 7 April 2022
Line 24:		Line 24:

	===Staging of vulvar cancer===		===Staging of vulvar cancer===
	Tumors of the vulva are staged as per the AJCC, 8th Ed:~~<ref>{{AJCC-8}}</ref>.~~<ref>{{AJCC-8}}</ref>		Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref>
	{\| class="wikitable"		{\| class="wikitable"
	! colspan="3" \|Primary tumor (T)		! colspan="3" \|Primary tumor (T)

Mikael Häggström: /* Staging of vulvar cancer */ Split

2022-04-07T20:07:48Z

Staging of vulvar cancer: Split

← Older revision		Revision as of 16:07, 7 April 2022
Line 30:		Line 30:
	!TNM		!TNM
	!FIGO		!FIGO
	!Criteria		\|Criteria
	\|-		\|-
	\|TX		\|TX
Line 59:		Line 59:
	\|IVA		\|IVA
	\|Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone		\|Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone
	\|-		\|}
			{\| class="wikitable"
	! colspan="3" \|Regional lymph nodes (N)		! colspan="3" \|Regional lymph nodes (N)
	\|-		\|-
	!TNM		!TNM
	!FIGO		!FIGO
	!Criteria		\|Criteria
	\|-		\|-
	\|NX		\|NX
Line 105:		Line 106:
	\|IVA		\|IVA
	\|Fixed or ulcerated regional lymph node metastasis		\|Fixed or ulcerated regional lymph node metastasis
	\|-		\|}
			{\| class="wikitable"
	!colspan="3" \|Distant metastasis (M)		!colspan="3" \|Distant metastasis (M)
	\|-		\|-
	!TNM		!TNM
	!FIGO		!FIGO
	!Criteria		\|Criteria
	\|-		\|-
	\|M0		\|M0

Mikael Häggström: /* Staging of vulvar cancer */ Criteria

2022-04-07T20:06:45Z

Staging of vulvar cancer: Criteria

← Older revision		Revision as of 16:06, 7 April 2022
Line 30:		Line 30:
	!TNM		!TNM
	!FIGO		!FIGO
	\|		!Criteria
	\|-		\|-
	\|TX		\|TX
Line 64:		Line 64:
	!TNM		!TNM
	!FIGO		!FIGO
	\|		!Criteria
	\|-		\|-
	\|NX		\|NX
Line 110:		Line 110:
	!TNM		!TNM
	!FIGO		!FIGO
	\|		!Criteria
	\|-		\|-
	\|M0		\|M0

Mikael Häggström: /* Staging of vulvar cancer */ Format

2022-04-07T20:06:09Z

Staging of vulvar cancer: Format

← Older revision		Revision as of 16:06, 7 April 2022
Line 26:		Line 26:
	Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref>.<ref>{{AJCC-8}}</ref>		Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref>.<ref>{{AJCC-8}}</ref>
	{\| class="wikitable"		{\| class="wikitable"
	\| colspan="3" \|Primary tumor (T)		! colspan="3" \|Primary tumor (T)
	\|-		\|-
	\|TNM		!TNM
	\|FIGO		!FIGO
	\|		\|
	\|-		\|-
Line 60:		Line 60:
	\|Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone		\|Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone
	\|-		\|-
	\| colspan="3" \|Regional lymph nodes (N)		! colspan="3" \|Regional lymph nodes (N)
	\|-		\|-
	\|TNM		!TNM
	\|FIGO		!FIGO
	\|		\|
	\|-		\|-
Line 106:		Line 106:
	\|Fixed or ulcerated regional lymph node metastasis		\|Fixed or ulcerated regional lymph node metastasis
	\|-		\|-
	\| colspan="3" \|Distant metastasis (M)		!colspan="3" \|Distant metastasis (M)
	\|-		\|-
	\|TNM		!TNM
	\|FIGO		!FIGO
	\|		\|
	\|-		\|-
Line 121:		Line 121:
	\|}		\|}
	{{Bottom}}		{{Bottom}}
	~~<references />~~

Mikael Häggström: +Table

2022-04-07T20:05:10Z

+Table

@@ Line 9: / Line 9: @@
 [[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg|thumb|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]
 Mainly look for squamous vulvar intraepithelial lesions:
 *'''Low-grade squamous intraepithelial lesion (LSIL)''':<ref name=Choschzick>{{cite web|url=https://www.pathologyoutlines.com/topic/vulvaVIN.html|title=Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL|author=Matthias Choschzick|website=PathologyOutlines}} Topic Completed: 6 January 2021. Minor changes: 11 June 2021</ref>
 :*Acanthosis, papillomatosis, and/or atypical koilocytosis in upper layers
 :*Usually mild atypia and mitoses, limited to the lower third of stratum spinosum and basale
 :*Binucleated epithelial cells
 *'''High-grade squamous intraepithelial lesion (HSIL)''':<ref name=Choschzick/>
 :*Enlarged atypical nuclei and mitoses involving middle and upper third of the epithelium.
 :*Also telling are atypical mitoses and/or extension in hair follicles and skin appendages.
 *'''[[Squamous cell carcinoma of the skin|Squamous cell carcinoma (SCC) of the skin]]'''.
 ===Staging of vulvar cancer===
 Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref>.<ref>{{AJCC-8}}</ref>
+{| class="wikitable"
 {{Bottom}}

Mikael Häggström: Started

2022-04-07T20:04:20Z

Started

← Older revision		Revision as of 16:04, 7 April 2022
Line 16:		Line 16:
	:*Enlarged atypical nuclei and mitoses involving middle and upper third of the epithelium.		:*Enlarged atypical nuclei and mitoses involving middle and upper third of the epithelium.
	:*Also telling are atypical mitoses and/or extension in hair follicles and skin appendages.		:*Also telling are atypical mitoses and/or extension in hair follicles and skin appendages.
			*'''[[Squamous cell carcinoma of the skin\|Squamous cell carcinoma (SCC) of the skin]]'''.

			===Staging of vulvar cancer===
			Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref>.<ref>{{AJCC-8}}</ref>

	{{Bottom}}		{{Bottom}}

Mikael Häggström: /* Microscopic examination */ Bolded

2021-09-08T13:05:12Z

Microscopic examination: Bolded

← Older revision		Revision as of 09:05, 8 September 2021
Line 7:		Line 7:

	==Microscopic examination==		==Microscopic examination==
	[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva (left) with full thickness dysplasia, compared to normal epithelium at right.]]		[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg\|thumb\|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]
	Mainly look for squamous vulvar intraepithelial lesions:		Mainly look for squamous vulvar intraepithelial lesions:
	*'''Low-grade squamous intraepithelial lesion (LSIL)''':<ref name=Choschzick>{{cite web\|url=https://www.pathologyoutlines.com/topic/vulvaVIN.html\|title=Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL\|author=Matthias Choschzick\|website=PathologyOutlines}} Topic Completed: 6 January 2021. Minor changes: 11 June 2021</ref>		*'''Low-grade squamous intraepithelial lesion (LSIL)''':<ref name=Choschzick>{{cite web\|url=https://www.pathologyoutlines.com/topic/vulvaVIN.html\|title=Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL\|author=Matthias Choschzick\|website=PathologyOutlines}} Topic Completed: 6 January 2021. Minor changes: 11 June 2021</ref>