Risiko's van voorkankeragtige letsels
Die diagnose van vulvêre patologieë is belangrik omdat sommige voorkankeragtig is. Terwyl vulvêre kanker slegs 5% van genitale kankers verteenwoordig vir 'n gemiddelde ouderdom van 65 jaar, het die voorkoms van vulvêre intraepitheliale neoplasie (VIN) die afgelope tien jaar skerp toegeneem. Die vroue wat geraak word, word al hoe jonger.
Hierdie bevinding maak dit dus nodig om hierdie pre-canceroses vroeër te diagnoseer, om die minste indringende behandeling moontlik te bied. Om hierdie patologieë beter te verduidelik, is 'n klassifikasie van vulvêre intraepitheliale neoplasie vasgestel.
Aangesien VIN 1 letsels in wese veroorsaak word deur 'n lae-risiko HPV infeksie, verantwoordelik vir benigne patologieë, word hulle nou onder die term plat kondyloom geklassifiseer.
Die wyne 2 en 3, waarin hoë-risiko HPV geïdentifiseer word, vorm 'n groep wat die risiko loop om kanker te ontwikkel wat algemene VIN's genoem word.
Daar is 'n groep vulva letsels wat nie met HPV-infeksie verband hou nie, maar wat hoofsaaklik in die konteks van lichen sclerosus voorkom en 'n sekere potensiaal bied om tot kanker te vorder by ouer pasiënte, is die gedifferensieerde VIN 3.
Tabel 1:
ISSVD (International Society for the Study of Vulvovaginal Disease) klassifikasie van vulva intraepitheliale neoplasie (VIN).
Ancienne terminologie ISSVD | ISSVD 2015 | En relation avec |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | Lésion squameuse intra-épithéliale BG | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | Condylome plan | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | aspect HPV | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 2/3 classique | Lésion squameuse intra-épithéliale HG | HPV haut risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 2/3 classique | aspect classique | HPV haut risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 3 différenciée | néoplasie vulvaire intra-épithéliale | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
1- HPV: menslike papillomavirus
2- BG / HG: lae graad / hoë graad
Tabel 2: Profiel van pasiënte met 'n vulva letsel wat die risiko loop om kanker te ontwikkel
VIN communs | VIN différenciés | |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Base | HPV induit | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Origine des cancers | 30% | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Age | Jeune | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Site | Uni, multifocal | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Aspect | Varié | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plaintes | Multiples | Récurrentes |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plainte 1 | prurit 30% | prurit 50% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plainte 2 | douleurs 25% | saignement 20% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plaintes 3 | gêne 80% | brûlures 80% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |