TY  - CHAP
M1  - Book, Section
TI  - Chapter 87. Vulvar Intraepithelial Neoplasia
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  63-year-old  black  woman  presents  with  a  “knot”  on  her  labia  majora  (Figures  87-1  and  87-2).  She  is  a  smoker  but  is  otherwise  healthy.  The  lesion  is  occasionally  pruritic  but  is  generally  asymptomatic.  She  found  it  approximately  6  months  ago,  and  it  has  been  slowly  increasing  in  size.  There  is  no  significant  family  history  of  cancer.  On  physical  exam  she  is  found  to  have  exophytic  condyloma  acuminata  around  the  introitus  and  a  growth  labelled  vulvar  intraepithelial  neoplasia  (VIN)  that  the  patient  called  a  “knot.”  A  3-mm  punch  biopsy  is  performed  and  demonstrates  VIN  III.  The  patient  is  referred  to  gynecologic  oncology.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/24
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57675568
ER  -