183) A 65 year old woman presents with a white plaque on her vulva. It is associated with occasional itching. She has no other hypo-pigmented lesions on her body. She denies any post-coital bleeding. Physical examination reveals a white colored plaque on the vulva. The lesion is atrophic, thin with a crinkled surface and is well-demarcated. There is atrophy of the labia minora. Most appropriate next step in managing this patient?
A) Topical Corticosteroids
B) Fluconazole
C) Vulvar Biopsy
D) HPV testing
E) Topical Testosterone
ccccccc to rule out cancer
with elderly, itchy vulva,white plaques,I would need to rule out cancer so biopsy the tissue. even though its invasive i would need to do that.
C) Vulvar Biopsy – Lichen Sclerosis
Treat with Topical Clobetasol
C…………
vulvar biopsy..