Meet the ISSVD. President ISSVD. Jacob Bornstein, MD
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1 Meet the ISSVD Jacob Bornstein, MD President ISSVD Chairman, Department of Obstetrics and Gynecology Western Galilee Hospital Bar-Ilan University Faculty of Medicine Nahariya, Israel
2 ISSVD Symposium: The current approach to vulvar disease Moderators: Jacob Bornstein, Hope Haefner, Sagit Arbel-Alon Meet the ISSVD Jacob Bornstein, Israel How to deal with Lichen Sclerosus - Pedro Baptista, Portugal Vulvar pain A frequent cause for women's suffering - Hope Haefner, USA Vulvar Intraepithelial Neoplasia How to classify it correctly? - Mario Sideri, Italy Common errors in treating patients with chronic vulvovaginal disease - Marc Steben, Canada Vulvar pathology in childhood - Adriana Caussade, Uruguay Q&A - Jacob Bornstein and Faculty
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4 ISSVD contributions
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6 Section Basic definitions Normal findings Abnormal findings 2011 IFCPC clinical terminology of the vulva Pattern Various structures: Urethra, Skene's duct openings, clitoris, prepuce, frenulum, pubis, labia majora, labia minora, interlabial sulci, vestibule, vestibular duct openings, Bartholin s duct openings, hymen, fourchette, perineum, anus, anal squamo-columnar junction (dentate line) Composition: Squamous epithelium: Hairy/non-hairy, mucosa Micropapillomatosis, Sebaceous glands (Fordyce spots), vestibular redness General principles: size in cms, location Lesion type: Lesion color: Secondary morphology: Macule Patch Papule Plaque Nodule Skin-colored Red White Dark Eczema Lichenification Excoriation Purpura Scarring
7 2011 IFCPC clinical terminology of the vulva Section Basic definitions Normal findings Abnormal findings Miscellaneous findings Suspicion of malignancy Abnormal colposcopic/ other magnification findings* Pattern Various structures: Urethra, Skene's duct openings, clitoris, prepuce, frenulum, pubis, labia majora, labia minora, interlabial sulci, vestibule, vestibular duct openings, Bartholin s duct openings, hymen, fourchette, perineum, anus, anal squamo-columnar junction (dentate line) Composition: Squamous epithelium: Hairy/non-hairy, mucosa Micropapillomatosis, Sebaceous glands (Fordyce spots), vestibular redness General principles: size in cms, location Lesion type: Macule Patch Papule Plaque Nodule Cyst Vesicle Bulla Pustule Trauma Malformation Lesion color: Skin-colored Red White Dark Secondary morphology: Eczema Lichenification Excoriation Purpura Scarring Ulcer Erosion Fissure Warty Gross neoplasm, ulceration, necrosis, bleeding, exophytic lesion, hyperkeratosis; With or without white, gray, red or brown discoloration Acetowhite epithelium, punctation, atypical vessels, surface irregularities Abnormal anal squamo-columnar junction (note location in regard to dentate line)
8 Special consideration in hairy versus non-hairy skin Hair shaft VIN No invasion
9 2011 IFCPC clinical terminology of the vulva Section Basic definitions Normal findings Abnormal findings Miscellaneous findings Suspicion of malignancy Abnormal colposcopic/ other magnification findings* Pattern Various structures: Urethra, Skene's duct openings, clitoris, prepuce, frenulum, pubis, labia majora, labia minora, interlabial sulci, vestibule, vestibular duct openings, Bartholin s duct openings, hymen, fourchette, perineum, anus, anal squamo-columnar junction (dentate line) Composition: Squamous epithelium: Hairy/non-hairy, mucosa Micropapillomatosis, Sebaceous glands (Fordyce spots), vestibular redness General principles: size in cms, location Lesion type: Macule Patch Papule Plaque Nodule Cyst Vesicle Bulla Pustule Trauma Malformation Lesion color: Skin-colored Red White Dark Secondary morphology: Eczema Lichenification Excoriation Purpura Scarring Ulcer Erosion Fissure Warty Gross neoplasm, ulceration, necrosis, bleeding, exophytic lesion, hyperkeratosis; With or without white, gray, red or brown discoloration Acetowhite epithelium, punctation, atypical vessels, surface irregularities Abnormal anal squamo-columnar junction (note location in regard to dentate line)
10 Vestibular micropapillomatosis A normal finding, not condylomata
11 2011 IFCPC clinical terminology of the vulva Section Basic definitions Normal findings Abnormal findings Miscellaneous findings Suspicion of malignancy Abnormal colposcopic/ other magnification findings* Pattern Various structures: Urethra, Skene's duct openings, clitoris, prepuce, frenulum, pubis, labia majora, labia minora, interlabial sulci, vestibule, vestibular duct openings, Bartholin s duct openings, hymen, fourchette, perineum, anus, anal squamo-columnar junction (dentate line) Composition: Squamous epithelium: Hairy/non-hairy, mucosa Micropapillomatosis, Sebaceous glands (Fordyce spots), vestibular redness General principles: size in cms, location Lesion type: Macule Patch Papule Plaque Nodule Cyst Vesicle Bulla Pustule Trauma Malformation Lesion color: Skin-colored Red White Dark Secondary morphology: Eczema Lichenification Excoriation Purpura Scarring Ulcer Erosion Fissure Warty Gross neoplasm, ulceration, necrosis, bleeding, exophytic lesion, hyperkeratosis; With or without white, gray, red or brown discoloration Acetowhite epithelium, punctation, atypical vessels, surface irregularities Abnormal anal squamo-columnar junction (note location in regard to dentate line)
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