Vulvar dystrophies in geriatric patients

The term vulvar dystrophies has received international acceptance and replaces the confusing terminology formerly used to describe vulvar epithelial disorders. The classification is based on histopathologic features and has provided a more rational foundation for the use of specific therapies. The risk of malignant change is small and depends on the presence or absence of atypical cells. Biopsies are mandatory for diagnosis and therapy. Vulvar dystrophies without atypia are benign lesions whose primary treatment is medical.