Cattaneo A, De Magnis A, Botti E, Piciocchi L, Carli P
Istituto di Ginecologia e Ostetricia II, Università degli Studi, Firenze.
Minerva Ginecol. 1996 Oct;48(10):429-33.
The clinical examination of the vulva, using an articulated method, should form part of the routine gynecological examination thus enabling both the correct diagnosis and treatment of numerous alterations and the prevention and early diagnosis of VIN and invasive neoplasias. A correct evaluation should include basic anamnestic data, a list of symptoms localised in the vulva region, a careful inspection and palpation. The successive aim is to identify the main clinical aspects of the lesion which can be summarized as changes of colour, presence of swellings on surface and loss of substance. The critical evaluation of lesions should allow critical evaluation of lesions should allow the gynecologist to formulate a diagnosis to propose to the pathologist. In this way the collaboration between clinician and pathologist can contribute to progress in the diagnosis and treatment of vulvar diseases.
采用关节式方法对外阴进行临床检查，应成为常规妇科检查的一部分，从而能够正确诊断和治疗多种病变，并预防和早期诊断外阴上皮内瘤变（VIN）和浸润性肿瘤。正确的评估应包括基本的病史资料、外阴区域的症状清单、仔细的检查和触诊。接下来的目标是识别病变的主要临床特征，这些特征可概括为颜色变化、表面肿胀的存在和组织缺失。对病变的批判性评估应使妇科医生能够制定诊断方案并提交给病理学家。通过这种方式，临床医生和病理学家之间的合作有助于外阴疾病诊断和治疗的进展。
