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Órgano Oficial del Hospital Ángeles Health System

2026, Number 4

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Acta Med 2026; 24 (4)

Prevalence of vulvar pathologies in women aged 20 to 70 years: a vulvoscopy study

Matías RJ, Pérez MLR

Language: Spanish
References: 18
Page: 367-372
PDF size: 576.42 Kb.


ABSTRACT

Introduction: vulvar pathologies are a frequent reason for gynecological consultations, since it affects a large part of the female population. Most of them have a benign behavior, however, some inflammatory and infectious dermatoses caused mainly by the human papillomavirus (HPV), can cause premalignant lesions at the vulvar level that progress to neoplasia. Objective: to determine the prevalence and morphological characteristics of vulvar pathology in women aged 20 to 70 years, with special attention to the identification of the most common and predominant types of lesions according to their age. Material and methods: 130 clinical records were reviewed, collecting data on age and vulvoscopic findings. Results: condyloma acuminatum led the infectious pathologies (20.76%), followed by vulvar candidiasis (13.07%) and molluscum contagiosum (8.46%). Lichen sclerosus predominated in inflammatory pathologies (12.29%). Acanthosis nigricans (6.14%) and lentigo (3.06%) were prominent in pigmented lesions. Skin tags (8.46%) and seborrheic keratosis (4.60%) were present in benign tumors. Benign lesions accounted for 97% of the lesions; premalignant lesions were 3%. Conclusion: this study revealed that age influences vulvar pathology: women of childbearing age are more prone to HPV infections, while older women suffer more from inflammatory pathology. Vulvoscopy is crucial for detecting early lesions.


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