F053 - Vulvar Disease: What Do You Know? Interactive Case Presentations

In an interactive case presentation, dermatologist Audrey Rutherford discusses vulvar diseases, particularly lichen sclerosis and differential diagnoses, alongside the complexities of patient care. She presents a case of a 75-year-old woman referred for suspected lichen sclerosis, initially treated with clobetasol, which improved her symptoms but raised the concern of a potential squamous cell carcinoma due to a new lesion. The patient preferred to monitor the lesion rather than undergo a biopsy, leading to a discussion about the challenges of managing vulvar conditions with a focus on the patient's quality of life. Rutherford emphasizes the importance of tactile examinations and the need for tailored, patient-centered treatment plans. In another case of an 80-year-old with itching, pain, and multiple comorbidities, she addresses the complexity of managing persistent symptoms and suggests comprehensive approaches, including behavioral modifications, barrier creams, and consideration of systemic treatments. Lastly, she recounts a case involving a patient with invasive squamous cell carcinoma, highlighting the significant impact surgery and post-operative care have on patients' mental health and overall quality of life. Ultimately, the presentation underlines the necessity of individualized care in sensitive areas and the importance of maintaining open communication with patients for effective management.