Thanks to Karen Price who has shed some light on the mysterious arts of vulval biopsy from what sounds like a very valuable session at the Women In GP conference last week. Some very handy tips here!
This is content reproduced from the Women in General Practice Conference 2014
Session was run by a Vulvo-gynae/General dermatologist and Sexual Health Physician
It is intended for Registered Medical Practitioners Only.
This post relates specifically to Vulval Shave and biopsy but the techniques can be widely applied.
When to Biopsy?
1. When in doubt!
- if not responding to treatment
- To exclude VIN Previously called Bowens Info here ( if untreated 15% will transform into invasive SCC Vulval Cancer ) and other rare differential diagnoses eg Extra Mammary Paget
2. To confirm a suspected diagnosis that has long term implications
- Lichen Sclerosus Atlas Link
- Lichen Planus Atlas Link
3. For patient s reassurance eg:
Labial Melanosis Link to Picture
Skin Tag
Seborrheic Keratosis
TYpes of Biopsy
1. Punch Biopsy
Recommend
4mm punch biopsy Ideal
4/0 vicryl or chromic dissolving suture …
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