علاج الورم الظهاري داخل الفرج من النوع التمايزي (dVIN)

References

1. For differentiated vulvar intraepithelial neoplasia (dVIN), an excisional procedure must always be adopted.
2. dVIN complete surgical excision of visible lesions is recommended to treat the lesion and to exclude invasive disease.
3. Because of the risk of progression to invasive vulvar squamous cell carcinoma from dVIN with a short interval, there is no role for medical treatment or ablation of dVIN, and therapy is conservative excision with negative surgical margins followed by continuous follow-up.
4. After dVIN excision, treatment of associated Lichen sclerosus and Lichen Planus with topical high potency corticosteroids is recommended to reduce the risk of recurrence/progression.