The usefulness of high-frequency ultrasonography in the evaluation of vulvar dermatoses in postmenopausal women – a preliminary report
Michał Migda1,2, Marian Stanisław Migda2, Bartosz Migda3, Marek Maleńczyk1
1 Clinical Unit of Obstetrics, Women’s Disease and Gynecological Oncology, United District Hospital, Collegium Medicum University of Nicolaus Copernicus in Toruń, Torun, Poland
2 Civis Vita Medical Center Torun, Poland
3 Department of Diagnostic Imaging, Second Faculty of Medicine with the English Division
and the Physiotherapy Division, Medical University of Warsaw, Warsaw, Poland
Correspondence: Michał Migda, Warszawska 20, 87-100 Toruń; tel.: 56 644 76 07,
Introduction: The vulva is an external female genital organ with complex anatomy and histology. In postmenopausal women, this region is at particular risk of different types of conditions known as dermatoses. Materials and methods: We assessed benign vulvar skin lesions using high-frequency 48 MHz ultrasound transducer (DermaView) prior to biopsy or excision. We compared ultrasonographic images with histology. Results: We assessed benign vulvar lesions such as folliculitis, condylomata acuminatum, lichen sclerosus and vulvar intraepithelial neoplasia. We presented typical high-frequency images of these pathologies and compared them with histological images. Conclusion: Our preliminary study confirms that high-frequency ultrasonography is a useful tool in the assessment of vulvar pathologies, especially before surgical excision. A precise visualization of certain pathologies like folliculitis, lichen sclerosus, condylomata and vulvar intraepithelial neoplasia is possible.