Benign Disorders and Vulvar Cancer

Benign Disorders

Vulvar Dystrophy

• Found in older women.
• Causes dry, thickened skin on the vulva, or slightly raised, whitish papules, fissures, or macules.
• May be asymptomatic or cause itching.
• May be associated with vulvar cancer, necessitating biopsy and follow-up visits.
• Treatment includes:
  • Topical corticosteroids.
  • Petrolatum jelly to control itching until resolution.
  • Education includes personal hygiene and self-monitoring for signs and symptoms (s/s) of complications.
  • Lanolin or hydrogenated vegetable oil for ongoing dryness.

Vulvar Cancer

• Often presents with persistent itching, pain, or lesions on the vulva.
• May be associated with HPV or chronic inflammation.
• Treated with local excision or vulvectomy, depending on the extent.