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癌前病变的风险
外阴病变的诊断很重要，因为有些是癌前病变。虽然外阴癌仅占平均年龄 65 岁的生殖器癌症的 5%，但外阴上皮内瘤变 (VIN) 的发病率在过去十年中急剧增加。受影响的女性越来越年轻。
因此，这一发现使得有必要更早地诊断这些癌前病变，以便提供尽可能少的侵入性治疗。为了更好地阐明这些病理，已经建立了外阴上皮内瘤变的分类。
由于 VIN 1 病变基本上是由低风险 HPV 感染引起的，导致良性病变，因此它们现在被归类为扁平尖锐湿疣。
葡萄酒 2 和 3，其中高危 HPV 被识别，构成了一个有患癌症风险的群体，称为常见 VIN。
有一组与 HPV 感染无关的外阴病变，但主要发生在硬化苔藓的背景下，并且在老年患者中具有一定的发展为癌症的潜力，这些是分化的 VIN 3。
表格1：
ISSVD（国际外阴阴道病研究学会）外阴上皮内瘤变 (VIN) 分类。
Ancienne terminologie ISSVD | ISSVD 2015 | En relation avec |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | Lésion squameuse intra-épithéliale BG | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | Condylome plan | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 1 | aspect HPV | HPV bas risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 2/3 classique | Lésion squameuse intra-épithéliale HG | HPV haut risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 2/3 classique | aspect classique | HPV haut risque |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
VIN 3 différenciée | néoplasie vulvaire intra-épithéliale | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
1- HPV：人乳头瘤病毒
2- BG/HG：低品位/高品位
表 2：有患癌风险的外阴病变患者概况
VIN communs | VIN différenciés | |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Base | HPV induit | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Origine des cancers | 30% | Lichen scléreux |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Age | Jeune | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Site | Uni, multifocal | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Aspect | Varié | Avancé |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plaintes | Multiples | Récurrentes |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plainte 1 | prurit 30% | prurit 50% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plainte 2 | douleurs 25% | saignement 20% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
Plaintes 3 | gêne 80% | brûlures 80% |
|---|---|---|
Fri., June 20 | The Academy, L.A | Book It |
Thu., June 19 | Bamboo, Santa Barbara | Book It |
Sat., June 28 | Cheers, Santa Cruz | Book It |
Wed., July 6 | The Roxy, San Francisco | Book It |
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