The 2015 International Society for the Study of Vulvovaginal Disease (ISSVD) Terminology of Vulvar Squamous Intraepithelial Lesions
| Autor: | Jacob, Bornstein, Fabrizio, Bogliatto, Hope K, Haefner, Colleen K, Stockdale, Mario, Preti, Tanja G, Bohl, Jason, Reutter, Marc, Van-Beurden |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty vulvar squamous intraepithelial neoplasia MEDLINE Vulvovaginal disease differentiated vulvar intraepithelial neoplasia Female Humans Precancerous Conditions Terminology as Topic Vulvar Neoplasms Vulva Terminology 03 medical and health sciences 0302 clinical medicine high grade squamous intraepithelial lesion low grade squamous intraepithelial lesion Lower Anogenital Squamous Terminology Squamous Intraepithelial Lesions of the Cervix Medicine Overdiagnosis Differentiated Vulvar Intraepithelial Neoplasia Vulvar neoplasm Gynecology Intraepithelial neoplasia 030219 obstetrics & reproductive medicine integumentary system urogenital system business.industry Obstetrics and Gynecology General Medicine Vulvar intraepithelial neoplasia medicine.disease Dermatology female genital diseases and pregnancy complications Squamous intraepithelial lesion medicine.anatomical_structure 030220 oncology & carcinogenesis business |
| Zdroj: | Obstetrics & Gynecology. 127:264-268 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000001285 |
| Popis: | Objectives The impact of terminology for vulvar intraepithelial lesions has been significant over the years, because it has affected diagnosis, treatment, and research. The introduction of the Lower Anogenital Squamous Terminology (LAST) in 2012 raised 2 concerns in relation to vulvar lesions: firstly, the absence of reference to "differentiated vulvar intraepithelial neoplasia" (differentiated VIN) could lead to its being overlooked by health care providers, despite its malignant potential. Secondly, including the term "low-grade squamous intraepithelial lesion" (LSIL) in LAST recreated the potential for overdiagnosis and overtreatment for benign, self-limiting lesions. Materials and methods The International Society for the Study of Vulvovaginal Disease (ISSVD) assigned the terminology committee the task of developing a terminology to take these issues into consideration. The committee reviewed the development of terminology for vulvar SILs with the previous 2 concerns in mind and reviewed several new terminology options. Results The final version accepted by the ISSVD contains the following:•Low-grade SIL of the vulva or vulvar LSIL, encompassing flat condyloma or human papillomavirus effect.•High-grade SIL or vulvar HSIL (which was termed "vulvar intraepithelial neoplasia usual type" in the 2004 ISSVD terminology).•Vulvar intraepithelial neoplasia, differentiated type. Conclusions The advantage of the new terminology is that it includes all types of vulvar SILs, it provides a solution to the concerns in relation to the application of LAST to vulvar lesion, and it is in accordance with the World Health Organization classification as well as the LAST, creating unity among clinicians and pathologists. |
| Databáze: | OpenAIRE |
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