Vulva Anatomy

What is the collective term for all visible structures from the pubis to the perineal body?

What is the most common benign solid tumor of the vulva?

What is the characteristic of the cut section of a fibroma?

What is the treatment for fibroma?

What is the 2nd most frequent type of benign vulvar mesenchymal tumor?

Where is lipoma most commonly found in gynecology?

What is the characteristic of a small fibroma?

What is the name of the glandular structure found in the vestibule?

What is the typical consistency of a lipoma compared to a fibroma?

What is the main difference in histology between a lipoma and a fibroma?

What is the typical treatment for a large lipoma?

What is the main characteristic of a benign nevus?

What is the ABCD rule used for in nevi?

What is the recommended biopsy method for a suspicious nevus?

What is the typical size range of a benign nevus?

What is the most common type of vulvar cyst?

Vulva includes all visible structures from the pubis to the perineal body
Contains: Mons pubis, Clitoris, Urinary meatus, Labia majora and minora, Vestibule (Hymen, Vaginal opening, Urethral opening, Glandular structures - Bartholin and Skene's gland)

Most common benign solid tumor of the vulva
Most commonly found in the labia majora
Occurs in all age groups
Low-grade potential for becoming malignant
Characteristics: smooth surface, gray-white tissue
Clinical manifestations: smaller fibromas - asymptomatic, bigger fibromas - pressure symptoms, acute pain for degeneration
Treatment: Excision Biopsy

2nd most frequent type of benign vulvar mesenchymal tumor
Arises from subcutaneous (fat) tissue of the vulva
Most commonly located in periclitorally or within the labia majora
Softer and usually larger than fibromas
Characteristics: soft, yellow, and lobulated, rubbery in consistency
Clinical manifestations: smaller lipoma - asymptomatic, bigger lipoma - pressure symptoms
Treatment: Excision Biopsy for large tumors

Commonly referred to as a mole
Benign gynecologic lesion
Characteristics: localized nest or cluster of melanocytes, arise from embryonic neural crest, present from birth
Diameter of most common benign nevi ranges from 3 to 10 mm
Characteristics of dysplastic nevi: 6 to 20 mm with one or more atypical features (speckling of color, diffuse margination, additional red, white, or blue hues, and asymmetry)
ABCD: asymmetry, border irregularity, color variegation, and a diameter usually greater than 6 mm
Treatment: 3-dimensional excisional biopsy under local anesthesia