Review of squamous premalignant vulvar lesions

被引:150
作者
van de Nieuwenhof, H. P. [1 ]
van der Avoort, I. A. M. [1 ]
de Hullu, J. A. [1 ]
机构
[1] Radboud Univ Nijmegen, Dept Obstet & Gynaecol, Ctr Med, NL-6500 HB Nijmegen, Netherlands
关键词
Vulvar squamous cell carcinoma; Vulvar intraepithelial neoplasia; Lichen sclerosus; HPV; Malignant potential;
D O I
10.1016/j.critrevonc.2008.02.012
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Vulvar squamous cell carcinoma (SCC) develops following two different pathways, which have their own premalignant lesions. In the absence of human papilloma virus (HPV), vulvar SCC can develop in a background of lichen sclerosus (LS), differentiated vulvar intraepithelial neoplasia (VIN) or both. The other pathway leading to vulvar SCC is associated with HPV and the HPV-associated premalignancy is usual VIN. In this review we will discuss the history, epidemiology, aetiology, histology, clinical characteristics, treatment options, malignant potential and prevention strategies of the three squamous premalignant vulvar lesions. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:131 / 156
页数:26
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