A PRACTICAL GUIDE TO VULVAL DISEASE. DIAGNOSIS AND MANAGEMENT

1 The Normal Vulva 1
2 Taking a History and Examination 9
3 How to Take a Vulval Biopsy and the Importance of Clinico-Pathological Correlation 15
4 Basic Histology of the Vulva 23
5 Investigations in Vulval Disease 29
6 Topical Treatment in Vulval Disease 35
7 Symptoms in Vulval Disease 45
8 Signs in Vulval Disease 51
9 Eczema, Allergy and the Vulva 57
10 Psoriasis 67
11 Lichen Simplex 75
12 Lichen Sclerosus 81
13 Lichen Planus 95
14 Hidradenitis Suppurativa and Crohn’s Disease 103
15 Disorders of Pigmentation on the Vulva 111
16 Other Dermatoses 121
17 Vulval Infection – Sexually Transmitted 137
18 Vulval Infection – Nonsexually Transmitted 155
19 Vulval Intraepithelial Neoplasia 167
20 Extramammary Paget’s Disease 179
21 Vulval Squamous Cell Carcinoma 189
22 Other Vulval Cancers 197
23 Vulvodynia 203
24 Psychosexual Aspects of Vulval Disease 211
25 Benign Lesions 213

This book is a practical guide to the diagnosis and management of vulval disorders. It offers guidance for all those who are treating patients with vulval disease at trainee and specialist level, helping to improve management for the patient and prevent delays in diagnosis, including referrals to specialists.
It contains key information about diagnosis, investigation and basic management, with a section on signs and symptoms guides the reader to the correct chapter for the treatment of that disease. The experienced authors include updated classification and terminology of vulval disease with an explanation of how this should be useful in clinical practice and guidance as to when the patient should be referred on to a specialist.
As vulval diseases are different to those of the rest of the skin patients with vulval disease present a large unmet need, often with delays in diagnosis due to a lack of training from physicians. This practical guide provides the specialist knowledge required for diagnosis and treatment of these conditions.