As in cervical dysplasia, VIN is based on degree of epithelial spread: VIN I—involvement of < XA epithelium. VIN II—involvement of > K epithelium VIN III—full-thickness involvement (carcinoma-in-situ)

Risk factors for vulvar dysplasia include HPV, herpes simplex virus type II (HSV-II), lymphogranuloma venereum (LGV), pigmented moles, and poor hygiene.

Most common site of vulvar dysplasia is labia majora.

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