• Jacob Bornstein


In this chapter we present the contemporary terminologies regarding classification of vulvar lesions that were accepted by the relevant international societies and are being used throughout the book: the clinical terminology of the International Federation of Cervical Pathology and Colposcopy (IFCPC) which provides basic definitions of the normal and abnormal vulva, the classification of the International Society for the Study of Vulvovaginal Disease (ISSVD) which provides the differential diagnosis of vulvar dermatological disorders, and the ISSVD terminology of eczematous and lichenified diseases. These terminologies are practical to making the diagnosis of a vulvar lesion. It is recommended to define the pattern of the lesion by using the IFCPC clinical terminology of the vulva and then looking in the ISSVD terminologies for further characterization of that pattern.


  1. 1.
    Michalany J. Vulva leukoplakia. Incongruency of concept and nomenclature and its identification with various dermatologic lesions, mainly scleroatrophic lichen. AMB Rev Assoc Med Bras. 1975;21:174–80.PubMedGoogle Scholar
  2. 2.
    Kaufman RH, Woodruff JD. Vulvar dystrophies, atypias, carcinomata in situ: an invitational symposium. Historical background in developmental stages of the new nomenclature. J Reprod Med. 1976;17:132–6.PubMedGoogle Scholar
  3. 3.
    Weström L, Mårdh PA. Definitions of infectious and infectious-like conditions in the lower genital tract of the female. Scand J Infect Dis Suppl. 1983;40:65–70.PubMedGoogle Scholar
  4. 4.
    Lallas A, Kyrgidis A, Tzellos TG, Apalla Z, Karakyriou E, Karatolias A, Lefaki I, Sotiriou E, Ioannides D, Argenziano G, Zalaudek I. Accuracy of dermoscopic criteria for the diagnosis of psoriasis, dermatitis, lichen planus and pityriasis rosea. Br J Dermatol. 2012;166:1198–205.CrossRefGoogle Scholar
  5. 5.
    Micheletti L, Preti M, Bogliatto F, Lynch PJ. Vulvology. A proposal for a multidisciplinary subspecialty. J Reprod Med. 2002;47:715–7.PubMedGoogle Scholar
  6. 6.
    Friedrich EG. Report of the committee on terminology. New nomenclature for vulvar disease. Obstet Gynecol. 1976;47:122–4.Google Scholar
  7. 7.
    Wilkinson EJ, Kneale B, Lynch PJ. Report of the ISSVD terminology committee. J Reprod Med. 1986;31:973–4.Google Scholar
  8. 8.
    Lynch PJ, Moyal-Barracco M, Bogliatto F, Micheletti L, Scurry J. 2006 ISSVD classification of vulvar dermatoses: pathologic subsets and their clinical correlates. J Reprod Med. 2007;52:3–9.PubMedGoogle Scholar
  9. 9.
    Bornstein J, Sideri M, Tatti S, Walker P, Prendiville W, Haefner HK, Nomenclature Committee of International Federation for Cervical Pathology and Colposcopy. 2011 terminology of the vulva of the International Federation for Cervical Pathology and Colposcopy. J Low Genit Tract Dis. 2012;16:290–5.CrossRefGoogle Scholar
  10. 10.
    Lynch PJ, Moyal-Barracco M, Scurry J, Stockdale C. 2011 ISSVD terminology and classification of vulvar dermatological disorders: an approach to clinical diagnosis. J Low Genit Tract Dis. 2012;16(4):339–44.CrossRefGoogle Scholar
  11. 11.
    Bornstein J, Bogliatto F, Haefner HK, Stockdale CK, Preti M, Bohl TG, Reutter J, ISSVD Terminology Committee. The 2015 International Society for the Study of Vulvovaginal Disease (ISSVD) terminology of vulvar squamous intraepithelial lesions. J Low Genit Tract Dis. 2016;201:11–4.CrossRefGoogle Scholar
  12. 12.
    Bornstein J, Bentley J, Bösze P, Girardi F, Haefner H, Menton M, Perrotta M, Prendiville W, Russell P, Sideri M, Strander B, Tatti S, Torne A, Walker P. 2011 colposcopic terminology of the international Federation for Cervical Pathology and Colposcopy. Obstet Gynecol. 2012 Jul;120(1):166–72.CrossRefGoogle Scholar
  13. 13.
    Micheletti L, Bogliatto F, Lynch PJ. Vulvoscopy: review of a diagnostic approach requiring clarification. J Reprod Med. 2008;53:179–82.PubMedGoogle Scholar
  14. 14.
    Van Beurden M, van de Vange N, de Craen AJ, Tjong-A-Hung SP, ten Kate FJ, ter Schegget J, Lammes FB. Normal findings in vulvar examination and vulvoscopy. Br J Obstet Gynaecol. 1997;104:320–4.CrossRefGoogle Scholar
  15. 15.
    Wright VC, Chapman WB. Colposcopy of intraepithelial neoplasia of the vulva and adjacent sites. Obstet Gynecol North Am. 1993;20:231–55.Google Scholar
  16. 16.
    Hatch K. Colposcopy of vaginal and vulvar human papillomavirus and adjacent sites. Obstet Gynecol Clin North Am. 1993;20:203–15.PubMedGoogle Scholar
  17. 17.
    Ritter J, Baladuf JJ, Philippe E, Dreyfus M, Dillmann JC. Colposcopy of the vulva. J Gynecol Obstet Biol Reprod (Paris). 1991;20:511–8.Google Scholar
  18. 18.
    Sener AB, Kuscu E, Seckin NC, Gokmen O, Taner D, Cobanoglu O, Zorlu G. Postmenopausal vulvar pruritus – colposcopic diagnosis and treatment. J Pak Med Assoc. 1995;45:315–7.PubMedGoogle Scholar
  19. 19.
    Gagné HM. Colposcopy of the vagina and vulva. Obstet Gynecol Clin North Am. 2008;35:659–69.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Jacob Bornstein
    • 1
  1. 1.Department of Obstetrics and Gynecology Galilee Medical Center, Bar-Ilan University Faculty of MedicineNahariyaIsrael

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