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Vulvar benign neoplasm

MedGen UID:
102301
•Concept ID:
C0154003
•
Neoplastic Process
Synonyms: Benign Neoplasm of the Vulva; benign neoplasm of the vulva; Benign neoplasm of vulva; Benign Neoplasm of Vulva; benign neoplasm of vulva; Benign Tumor of the Vulva; benign tumor of the vulva; Benign tumor of vulva; Benign Tumor of Vulva; benign tumor of vulva; benign tumour of the vulva; benign tumour of vulva; Benign Vulva Neoplasm; benign vulva neoplasm; Benign Vulva Tumor; benign vulva tumor; benign vulva tumour; Benign Vulval Neoplasm; benign vulval neoplasm; Benign Vulvar Neoplasm; benign vulvar neoplasm; Benign Vulvar Tumor; benign vulvar tumor; benign vulvar tumour; mammalian vulva benign neoplasm; vulva benign neoplasm; vulvar benign neoplasm
SNOMED CT: Benign tumor of vulva (92486005); Benign neoplasm of vulva (92486005)
 
Monarch Initiative: MONDO:0000643

Definition

A non-metastasizing neoplasm that arises from the vulva. Representative examples include cellular angiofibroma, melanocytic nevus, nodular hidradenoma, and Bartholin gland adenoma. [from NCI]

Professional guidelines

PubMed

Extramammary Paget's Disease: Diagnosis, Pathogenesis, and Treatment with Focus on Recent Developments.
Ishizuki S, Nakamura Y
Curr Oncol 2021 Aug 5;28(4):2969-2986. doi: 10.3390/curroncol28040260. PMID: 34436026Free PMC Article
Vulvar intraepithelial neoplasia: Classification, epidemiology, diagnosis, and management.
Lebreton M, Carton I, Brousse S, Lavoué V, Body G, Levêque J, Nyangoh-Timoh K
J Gynecol Obstet Hum Reprod 2020 Nov;49(9):101801. Epub 2020 May 14 doi: 10.1016/j.jogoh.2020.101801. PMID: 32417455
Consensus Recommendations for Radiation Therapy Contouring and Treatment of Vulvar Carcinoma.
Gaffney DK, King B, Viswanathan AN, Barkati M, Beriwal S, Eifel P, Erickson B, Fyles A, Goulart J, Harkenrider M, Jhingran A, Klopp A, Koh WJ, Lim K, Petersen I, Portelance L, Small W Jr, Stewart A, Wiebe E, Wolfson A, Yashar C, Bosch W
Int J Radiat Oncol Biol Phys 2016 Jul 15;95(4):1191-200. Epub 2016 Feb 21 doi: 10.1016/j.ijrobp.2016.02.043. PMID: 27130794Free PMC Article

Recent clinical studies

Etiology

HPV-independent, p53-wild-type vulvar intraepithelial neoplasia: a review of nomenclature and the journey to characterize verruciform and acanthotic precursor lesions of the vulva.
Parra-Herran C, Nucci MR, Singh N, Rakislova N, Howitt BE, Hoang L, Gilks CB, Bosse T, Watkins JC
Mod Pathol 2022 Oct;35(10):1317-1326. Epub 2022 Apr 18 doi: 10.1038/s41379-022-01079-7. PMID: 35437330
Vulvar Neoplasms (Part II).
Sanchez I, Raffi J, Kraus CN
Urology 2022 Jul;165:31-35. Epub 2022 Feb 23 doi: 10.1016/j.urology.2022.02.007. PMID: 35218865
Cancer of the vulva: 2021 update.
Olawaiye AB, Cuello MA, Rogers LJ
Int J Gynaecol Obstet 2021 Oct;155 Suppl 1(Suppl 1):7-18. doi: 10.1002/ijgo.13881. PMID: 34669204Free PMC Article
Diagnosis and Treatment of Vulvar Lichen Sclerosus: An Update for Dermatologists.
Lee A, Fischer G
Am J Clin Dermatol 2018 Oct;19(5):695-706. doi: 10.1007/s40257-018-0364-7. PMID: 29987650
Lichen sclerosus in women: a review.
Pérez-López FR, Vieira-Baptista P
Climacteric 2017 Aug;20(4):339-347. Epub 2017 Jun 29 doi: 10.1080/13697137.2017.1343295. PMID: 28661705

Diagnosis

HPV-independent, p53-wild-type vulvar intraepithelial neoplasia: a review of nomenclature and the journey to characterize verruciform and acanthotic precursor lesions of the vulva.
Parra-Herran C, Nucci MR, Singh N, Rakislova N, Howitt BE, Hoang L, Gilks CB, Bosse T, Watkins JC
Mod Pathol 2022 Oct;35(10):1317-1326. Epub 2022 Apr 18 doi: 10.1038/s41379-022-01079-7. PMID: 35437330
Cancer of the vulva: 2021 update.
Olawaiye AB, Cuello MA, Rogers LJ
Int J Gynaecol Obstet 2021 Oct;155 Suppl 1(Suppl 1):7-18. doi: 10.1002/ijgo.13881. PMID: 34669204Free PMC Article
Vulvar Melanoma: Molecular Characteristics, Diagnosis, Surgical Management, and Medical Treatment.
Wohlmuth C, Wohlmuth-Wieser I
Am J Clin Dermatol 2021 Sep;22(5):639-651. Epub 2021 Jun 14 doi: 10.1007/s40257-021-00614-7. PMID: 34125416Free PMC Article
Cancer of the Vulva: A Review.
Michalski BM, Pfeifer JD, Mutch D, Council ML
Dermatol Surg 2021 Feb 1;47(2):174-183. doi: 10.1097/DSS.0000000000002584. PMID: 32947298
Diagnosis and Treatment of Vulvar Lichen Sclerosus: An Update for Dermatologists.
Lee A, Fischer G
Am J Clin Dermatol 2018 Oct;19(5):695-706. doi: 10.1007/s40257-018-0364-7. PMID: 29987650

Therapy

Topical imiquimod versus surgery for vulvar intraepithelial neoplasia: a multicentre, randomised, phase 3, non-inferiority trial.
Trutnovsky G, Reich O, Joura EA, Holter M, Ciresa-König A, Widschwendter A, Schauer C, Bogner G, Jan Z, Boandl A, Kalteis MS, Regauer S, Tamussino K
Lancet 2022 May 7;399(10337):1790-1798. Epub 2022 Apr 25 doi: 10.1016/S0140-6736(22)00469-X. PMID: 35483400
Cancer of the Vulva: A Review.
Michalski BM, Pfeifer JD, Mutch D, Council ML
Dermatol Surg 2021 Feb 1;47(2):174-183. doi: 10.1097/DSS.0000000000002584. PMID: 32947298
Editor's picks.
J Eur Acad Dermatol Venereol 2020 Apr;34(4):665. doi: 10.1111/jdv.16353. PMID: 32227421
Sentinel-Lymph-Node Multicenter Trials.
Moncayo VM, Grady EE, Alazraki NP, Aarsvold JN
Semin Nucl Med 2020 Jan;50(1):56-74. doi: 10.1053/j.semnuclmed.2019.10.001. PMID: 31843062
Diagnosis and Treatment of Vulvar Lichen Sclerosus: An Update for Dermatologists.
Lee A, Fischer G
Am J Clin Dermatol 2018 Oct;19(5):695-706. doi: 10.1007/s40257-018-0364-7. PMID: 29987650

Prognosis

Metastatic Neoplasms to the Vulva-A Review.
Heller A, Breitner D, Cracchiolo B, Heller DS
J Low Genit Tract Dis 2022 Apr 1;26(2):152-155. doi: 10.1097/LGT.0000000000000660. PMID: 35256567
Vulvar Melanoma: Molecular Characteristics, Diagnosis, Surgical Management, and Medical Treatment.
Wohlmuth C, Wohlmuth-Wieser I
Am J Clin Dermatol 2021 Sep;22(5):639-651. Epub 2021 Jun 14 doi: 10.1007/s40257-021-00614-7. PMID: 34125416Free PMC Article
Extramammary Paget Disease.
Marcoval J, Penín RM, Vidal A, Bermejo J
Actas Dermosifiliogr (Engl Ed) 2020 May;111(4):306-312. Epub 2020 Apr 9 doi: 10.1016/j.ad.2019.09.003. PMID: 32278442
Diagnosis and Treatment of Vulvar Lichen Sclerosus: An Update for Dermatologists.
Lee A, Fischer G
Am J Clin Dermatol 2018 Oct;19(5):695-706. doi: 10.1007/s40257-018-0364-7. PMID: 29987650
Bartholin gland cancer.
Di Donato V, Casorelli A, Bardhi E, Vena F, Marchetti C, Muzii L, Benedetti Panici P
Crit Rev Oncol Hematol 2017 Sep;117:1-11. Epub 2017 Jun 13 doi: 10.1016/j.critrevonc.2017.06.005. PMID: 28807231

Clinical prediction guides

Postoperative management of vulvar cancer.
Lukovic J, Han K
Int J Gynecol Cancer 2022 Mar;32(3):338-343. doi: 10.1136/ijgc-2021-002463. PMID: 35256421
Vulvar Basal Cell Carcinoma: Clinical and Histopathologic Features.
Flipo R, Bani MA, Rejaibi S, Talhi N, Sastre-Garau X
Int J Gynecol Pathol 2022 Jan 1;41(1):86-92. doi: 10.1097/PGP.0000000000000771. PMID: 33770062
Erosive Vulvar Lichen Planus and Risk of Vulvar Neoplasia.
Lyra J, Melo C, Figueiredo R, Polonia-Valente R, Falcão V, Beires J, Vieira-Baptista P
J Low Genit Tract Dis 2021 Jan 1;25(1):71-75. doi: 10.1097/LGT.0000000000000581. PMID: 33214502
Extramammary Paget Disease.
Marcoval J, Penín RM, Vidal A, Bermejo J
Actas Dermosifiliogr (Engl Ed) 2020 May;111(4):306-312. Epub 2020 Apr 9 doi: 10.1016/j.ad.2019.09.003. PMID: 32278442
Extramammary Paget disease.
St Claire K, Hoover A, Ashack K, Khachemoune A
Dermatol Online J 2019 Apr 15;25(4) PMID: 31046904

Recent systematic reviews

Prevalence of human papillomavirus DNA and p16(INK4a) positivity in vulvar cancer and vulvar intraepithelial neoplasia: a systematic review and meta-analysis.
Li Z, Liu P, Wang Z, Zhang Z, Chen Z, Chu R, Li G, Han Q, Zhao Y, Li L, Miao J, Kong B, Song K
Lancet Oncol 2023 Apr;24(4):403-414. Epub 2023 Mar 15 doi: 10.1016/S1470-2045(23)00066-9. PMID: 36933562
Role of human papillomavirus (HPV) vaccination on HPV infection and recurrence of HPV related disease after local surgical treatment: systematic review and meta-analysis.
Kechagias KS, Kalliala I, Bowden SJ, Athanasiou A, Paraskevaidi M, Paraskevaidis E, Dillner J, Nieminen P, Strander B, Sasieni P, Veroniki AA, Kyrgiou M
BMJ 2022 Aug 3;378:e070135. doi: 10.1136/bmj-2022-070135. PMID: 35922074Free PMC Article
Incidence and mortality from cervical cancer and other malignancies after treatment of cervical intraepithelial neoplasia: a systematic review and meta-analysis of the literature.
Kalliala I, Athanasiou A, Veroniki AA, Salanti G, Efthimiou O, Raftis N, Bowden S, Paraskevaidi M, Aro K, Arbyn M, Bennett P, Nieminen P, Paraskevaidis E, Kyrgiou M
Ann Oncol 2020 Feb;31(2):213-227. Epub 2020 Jan 3 doi: 10.1016/j.annonc.2019.11.004. PMID: 31959338Free PMC Article
Evaluation of treatments for Bartholin's cyst or abscess: a systematic review.
Illingworth B, Stocking K, Showell M, Kirk E, Duffy J
BJOG 2020 May;127(6):671-678. Epub 2020 Feb 4 doi: 10.1111/1471-0528.16079. PMID: 31876985
Vulvar, Perianal and Perineal Cancer After Hidradenitis Suppurativa: A Systematic Review and Pooled Analysis.
Makris GM, Poulakaki N, Papanota AM, Kotsifa E, Sergentanis TN, Psaltopoulou T
Dermatol Surg 2017 Jan;43(1):107-115. doi: 10.1097/DSS.0000000000000944. PMID: 27755170

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