Vulvar dysplasia and vulvar cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 29-year-old woman presents to the gynecology office for evaluation of a new vulvar lesion that the patient felt while showering. The patient describes the lesion as raised with a slightly rough texture. Past medical history is significant for several prior abnormal pap smears in the past that required cervical colposcopy. Vital signs are within normal limits. Chaperoned examination of the vulva reveals a singular 0.5 cm raised, slightly hypopigmented lesion on the perineal body. A punch biopsy reveals cytologic atypia in two-thirds of the epithelium, without invasion, with extension to the biopsy margins. Which of the following is the best next step in management?

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