Difference between revisions of "Vulva"

From patholines.org
Jump to navigation Jump to search
Line 7: Line 7:
  
 
==Microscopic examination==
 
==Microscopic examination==
[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg|thumb|Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva (left) with full thickness dysplasia, compared to normal epithelium at right.]]
+
[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg|thumb|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]]
 
Mainly look for squamous vulvar intraepithelial lesions:
 
Mainly look for squamous vulvar intraepithelial lesions:
 
*'''Low-grade squamous intraepithelial lesion (LSIL)''':<ref name=Choschzick>{{cite web|url=https://www.pathologyoutlines.com/topic/vulvaVIN.html|title=Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL|author=Matthias Choschzick|website=PathologyOutlines}} Topic Completed: 6 January 2021. Minor changes: 11 June 2021</ref>
 
*'''Low-grade squamous intraepithelial lesion (LSIL)''':<ref name=Choschzick>{{cite web|url=https://www.pathologyoutlines.com/topic/vulvaVIN.html|title=Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL|author=Matthias Choschzick|website=PathologyOutlines}} Topic Completed: 6 January 2021. Minor changes: 11 June 2021</ref>

Revision as of 09:05, 8 September 2021

Author: Mikael Häggström [note 1]

Gross processing

Generally as per skin.

Microscopic examination

Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.

Mainly look for squamous vulvar intraepithelial lesions:

  • Low-grade squamous intraepithelial lesion (LSIL):[1]
  • Acanthosis, papillomatosis, and/or atypical koilocytosis in upper layers
  • Usually mild atypia and mitoses, limited to the lower third of stratum spinosum and basale
  • Binucleated epithelial cells
  • High-grade squamous intraepithelial lesion (HSIL):[1]
  • Enlarged atypical nuclei and mitoses involving middle and upper third of the epithelium.
  • Also telling are atypical mitoses and/or extension in hair follicles and skin appendages.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References

  1. 1.0 1.1 Matthias Choschzick. Vulva, vagina & female urethra - Squamous carcinoma and precursor lesions - HPV associated SIL. PathologyOutlines. Topic Completed: 6 January 2021. Minor changes: 11 June 2021

Image sources