Vulvar Diseases that Required a Biopsy: A Retrospective Study

Introduction: The vulvar area may be affected by many noninfectious conditions with similar clinical appearance, requiring a cutaneous biopsy. Our goal was to characterize the noninfectious vulvar diseases that required a biopsy in a southwestern Europe Central Hospital during a 10-year period. M...

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Main Authors: Rita Bouceiro-Mendes, M. Mendonça-Sanches, Luís Soares-de-Almeida, Isabel Correia-Fonseca, João Borges-da-Costa
Format: Article
Language:English
Published: Sociedade Portuguesa de Dermatologia e Venereologia 2021-12-01
Series:Revista da Sociedade Portuguesa de Dermatologia e Venereologia
Subjects:
Online Access:https://revista.spdv.com.pt/index.php/spdv/article/view/1411
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author Rita Bouceiro-Mendes
M. Mendonça-Sanches
Luís Soares-de-Almeida
Isabel Correia-Fonseca
João Borges-da-Costa
author_facet Rita Bouceiro-Mendes
M. Mendonça-Sanches
Luís Soares-de-Almeida
Isabel Correia-Fonseca
João Borges-da-Costa
author_sort Rita Bouceiro-Mendes
collection DOAJ
description Introduction: The vulvar area may be affected by many noninfectious conditions with similar clinical appearance, requiring a cutaneous biopsy. Our goal was to characterize the noninfectious vulvar diseases that required a biopsy in a southwestern Europe Central Hospital during a 10-year period. Methods: A retrospective study of all the noninfectious vulvar diseases with histological confirmation diagnosed in our institution was conducted between January 1, 2008 and December 31, 2017. Results: The sample included a total of 323 biopsies from 317 patients, aged between 11 and 98 years (mean age of 54.2 years). A total of 36 vulvar diseases was identified. Neoplastic conditions were the most frequently found, particularly melanotic macules (22.3%). The most frequent malignant tumor was vulvar intraepithelial neoplasia (6.2%) and squamous cell carcinoma (5.6%). The most common dermatosis was lichen sclerosus (12.7%). Conclusion: Neoplasms were the most frequently diagnosed conditions affecting the vulvar area that required a biopsy. Ruling out malignancy was also the main reason to perform a biopsy. This study highlights the variety of noninfectious diseases that may affect the vulva and require a biopsy. Since vulvar diseases may be serious and carry high levels of patient distress a correct understanding of these conditions is crucial.
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spelling doaj.art-554112a2e87e4a72b61ddc9f10a6c90e2022-12-21T17:46:03ZengSociedade Portuguesa de Dermatologia e VenereologiaRevista da Sociedade Portuguesa de Dermatologia e Venereologia2182-23952182-24092021-12-0179410.29021/spdv.79.4.1411Vulvar Diseases that Required a Biopsy: A Retrospective StudyRita Bouceiro-Mendes0M. Mendonça-Sanches1Luís Soares-de-Almeida2Isabel Correia-Fonseca3João Borges-da-Costa4Serviço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PortugalServiço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PortugalServiço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal; Faculdade de Medicina da Universidade de Lisboa, Lisboa, PortugalServiço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, PortugalServiço de Dermatologia, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal; Faculdade de Medicina da Universidade de Lisboa, Lisboa, PortugalIntroduction: The vulvar area may be affected by many noninfectious conditions with similar clinical appearance, requiring a cutaneous biopsy. Our goal was to characterize the noninfectious vulvar diseases that required a biopsy in a southwestern Europe Central Hospital during a 10-year period. Methods: A retrospective study of all the noninfectious vulvar diseases with histological confirmation diagnosed in our institution was conducted between January 1, 2008 and December 31, 2017. Results: The sample included a total of 323 biopsies from 317 patients, aged between 11 and 98 years (mean age of 54.2 years). A total of 36 vulvar diseases was identified. Neoplastic conditions were the most frequently found, particularly melanotic macules (22.3%). The most frequent malignant tumor was vulvar intraepithelial neoplasia (6.2%) and squamous cell carcinoma (5.6%). The most common dermatosis was lichen sclerosus (12.7%). Conclusion: Neoplasms were the most frequently diagnosed conditions affecting the vulvar area that required a biopsy. Ruling out malignancy was also the main reason to perform a biopsy. This study highlights the variety of noninfectious diseases that may affect the vulva and require a biopsy. Since vulvar diseases may be serious and carry high levels of patient distress a correct understanding of these conditions is crucial.https://revista.spdv.com.pt/index.php/spdv/article/view/1411BiopsyVulvar DiseasesVulvar Lichen SclerosusVulvar Neoplasms
spellingShingle Rita Bouceiro-Mendes
M. Mendonça-Sanches
Luís Soares-de-Almeida
Isabel Correia-Fonseca
João Borges-da-Costa
Vulvar Diseases that Required a Biopsy: A Retrospective Study
Revista da Sociedade Portuguesa de Dermatologia e Venereologia
Biopsy
Vulvar Diseases
Vulvar Lichen Sclerosus
Vulvar Neoplasms
title Vulvar Diseases that Required a Biopsy: A Retrospective Study
title_full Vulvar Diseases that Required a Biopsy: A Retrospective Study
title_fullStr Vulvar Diseases that Required a Biopsy: A Retrospective Study
title_full_unstemmed Vulvar Diseases that Required a Biopsy: A Retrospective Study
title_short Vulvar Diseases that Required a Biopsy: A Retrospective Study
title_sort vulvar diseases that required a biopsy a retrospective study
topic Biopsy
Vulvar Diseases
Vulvar Lichen Sclerosus
Vulvar Neoplasms
url https://revista.spdv.com.pt/index.php/spdv/article/view/1411
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AT isabelcorreiafonseca vulvardiseasesthatrequiredabiopsyaretrospectivestudy
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