VULVAR DYSPLASIA (VIN) CARE IN SHERMAN, TX

Vulvar dysplasia — also called VIN (vulvar intraepithelial neoplasia) — is an abnormal, precancerous change in the skin of the vulva (the outer area of a woman's genitals). It is not cancer, but it can slowly turn into cancer if it is not treated, so it is worth taking seriously. At G. DeAn Strobel, MD, PA in Sherman, TX, Dr. Karissa Cryer diagnoses and treats vulvar dysplasia for women across North Texas and the Texoma area. Found early, it is very treatable. Call or text 903-957-0275.

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What is vulvar dysplasia (VIN)? VIN means abnormal cells on the surface of the vulvar skin. It is a "precancer" — a warning sign, not cancer itself. There are two main types: one linked to HPV (a common virus), seen more often in younger women; and one linked to long-term skin conditions like lichen sclerosus, seen more often in older women. Both are treated once they are found.

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What are the symptoms? Some women have no symptoms and it is found on an exam. When there are signs, they can include itching or burning that will not go away, soreness, and a patch of skin that looks different — raised, rough, or white, red, gray, or dark in color. Because these signs overlap with other skin problems, the only way to know for sure is a small skin sample (biopsy).

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What causes it, and who is at risk? The HPV-related type is tied to the same common virus that causes many abnormal Pap results. The other type is tied to chronic vulvar skin conditions such as lichen sclerosus. You may be more likely to have VIN if you smoke, have a weakened immune system, or have a history of HPV-related changes elsewhere (such as on the cervix).

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How is it diagnosed and treated? Diagnosis starts with a careful look at the vulva and a biopsy of any suspicious area. Because VIN can turn into cancer over time, it is treated once it is confirmed. Treatment depends on the size and type and may include a minor surgery to remove the abnormal skin (such as a wide local excision), laser treatment, or a prescription skin cream in some cases. Dr. Cryer will explain the best option for you and follow up afterward. To learn about vulvar surgery and what to expect, visit our Vulvar Surgery page. To be seen, call or text 903-957-0275.