Vulvar inspection at the time of cervical cancer screening: European Society of Gynaecological Oncology (ESGO), International Society for the Study of Vulvovaginal Disease (ISSVD), European College for the Study of Vulval Disease (ECSVD), and European Federation for Colposcopy (EFC) consensus statements

Mario Preti; Fiona Lewis; Xavier Carcopino; Federica Bevilacqua; Laura Burney Ellis; Pia Halonen; Reda Hemida; Robert Jach; Vesna Kesic; Maria Kyrgiou; Tiziano Maggino; Amélia Pedro; Denis Querleu; Colleen Stockdale; Nadja Taumberger; Bilal Esat Temiz; Pedro Vieira-Baptista; Murat Gultekin

doi:10.1016/j.ijgc.2024.100007

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Vulvar inspection at the time of cervical cancer screening: European Society of Gynaecological Oncology (ESGO), International Society for the Study of Vulvovaginal Disease (ISSVD), European College for the Study of Vulval Disease (ECSVD), and European Federation for Colposcopy (EFC) consensus statements

Journal article

Peer reviewed

Vulvar inspection at the time of cervical cancer screening: European Society of Gynaecological Oncology (ESGO), International Society for the Study of Vulvovaginal Disease (ISSVD), European College for the Study of Vulval Disease (ECSVD), and European Federation for Colposcopy (EFC) consensus statements

Mario Preti, Fiona Lewis, Xavier Carcopino, Federica Bevilacqua, Laura Burney Ellis, Pia Halonen, Reda Hemida, Robert Jach, Vesna Kesic, Maria Kyrgiou, …

International journal of gynecological cancer, Vol.35(1), 100007

01/2025

DOI: 10.1016/j.ijgc.2024.100007

PMID: 39878267

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https://ruj.uj.edu.pl/handle/item/551449View

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Abstract

Vulvar squamous cell carcinoma incidence is increasing, especially among women under 60, largely attributed to human papillomavirus infections. Precursor pre-invasive vulvar lesions are frequently underdiagnosed. Routine vulvar inspection during cervical cancer screening could offer an opportunity for the detection of these lesions. To emphasize the importance of integrating routine vulvar inspection during cervical cancer screening procedures and to raise awareness about the early detection of vulvar squamous cell carcinoma and its precursors to reduce the diagnostic delay of vulvar pathologies. A multidisciplinary task force comprising experts from 4 international scientific societies was formed. A focused literature review was conducted, and consensus statements were developed through a structured voting process to ensure clinical relevance and comprehensiveness. The consensus defines key elements of normal vulvar anatomy, identifies potential pre-cancerous dermatoses, and highlights risk factors for vulvar malignancy. The consensus statements promote the integration of vulvar inspection into cervical cancer screening procedures, urging health care professionals across various levels to receive training and guidance in vulvar examinations and enhancing patient education. Health care providers are recommended to gather a brief history of vulvar symptoms, conduct comprehensive inspections of the vulvar area, and report any abnormalities. For patients with positive human papillomavirus or Pap tests, they should closely monitor vulvar findings, encourage self-examinations, and discuss risks for intra-epithelial or invasive neoplasia. Establishing standardized practices in vulvar inspection during cervical cancer screening procedures along with public awareness, could significantly impact early detection and timely interventions of vulvar pathologies at cancer risk ultimately reducing the burden of vulvar cancers.

Awareness

Cervical cancer screening

Healthcare providers

Vulvar cancer

Vulvar inspection

Details

Title: Subtitle: Vulvar inspection at the time of cervical cancer screening: European Society of Gynaecological Oncology (ESGO), International Society for the Study of Vulvovaginal Disease (ISSVD), European College for the Study of Vulval Disease (ECSVD), and European Federation for Colposcopy (EFC) consensus statements
Creators: Mario Preti - University of Turin
Fiona Lewis - St Thomas' Hospital
Xavier Carcopino - Hôpital Nord
Federica Bevilacqua - University of Turin
Laura Burney Ellis - Imperial College Healthcare NHS Trust
Pia Halonen - Helsinki University Hospital
Reda Hemida - Mansoura University
Robert Jach - Jagiellonian University
Vesna Kesic - University of Belgrade
Maria Kyrgiou - Imperial College Healthcare NHS Trust
Tiziano Maggino - Dell’Angelo Hospital, Veneto Regional Health Service, Mestre, Venice, Italy
Amélia Pedro - CUF Sintra Hospital, Sintra, Lisbon, Portugal
Denis Querleu - Agostino Gemelli University Polyclinic
Colleen Stockdale - University of Iowa, Iowa City, Iowa, USA
Nadja Taumberger - Medical University of Graz
Bilal Esat Temiz - Ankara 29 Mayis State Hospital
Pedro Vieira-Baptista - Universidade do Porto
Murat Gultekin - Hacettepe University
Resource Type: Journal article
Publication Details: International journal of gynecological cancer, Vol.35(1), 100007
DOI: 10.1016/j.ijgc.2024.100007
PMID: 39878267
NLM abbreviation: Int J Gynecol Cancer
ISSN: 1048-891X
eISSN: 1525-1438
Publisher: Elsevier Inc
Grant note: ESGOISSVDECSVDEFC funds
All costs relating to the development process were covered by ESGO, ISSVD, ECSVD, and EFC funds.
Language: English
Date published: 01/2025
Academic Unit: Obstetrics and Gynecology
Record Identifier: 9984772247902771

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