Diagnostic et prise en charge des néoplasies intraépithéliales vulvaires et des cancers invasifs de la vulve

摘要: OBJECTIVE Update on the diagnosis and management of vulvar intraepithelial neoplasia (VIN) carcinoma. METHOD Review literature. RESULTS The classification VIN is leaning towards development two distinct anatomoclinical models. usual type a differentiated type. New forms treatment preinvasive lesions that are less traumatic as efficient will have to be evaluated in future such immunomodulators photodynamic therapy. invasive carcinoma generally rapidly symptomatic visible; however, more than one third patients still diagnosed at an advanced stage. therapeutic alternatives being examined sentinel lymph node early stages preoperative radiochemotherapy stages. CONCLUSIONS cancer need specialized which may mutilating, despite fact options well defined today tend aggressive surgery.