The International Federation of Gynaecology and Obstetrics (FIGO) categorises cancer of the vulva into stages, with early-stage (1A or 1B) defined as being confined to the vulva or perineum, with stromal invasion, and negative inguino-femoral lymph nodes.1 In Australia, vulval cancer represents 6.2 % of all gynaecological cancers, with 83% cases of vulval cancer having squamous cell histology.2...

An invariant spatial pattern of three cell fates (3 degrees-3 degrees-2 degrees-1 degree-2 degrees-3 degrees) is generated from a field of multipotent precursor cells during C. elegans vulval development. We demonstrate that the epidermal growth factor-like domain of the LIN-3 protein can induce either of two distinct vulval cell fates: a high dose of LIN-3 induces a 1 degree fate; a lower dose...

The let-23 receptor/mpk-1 MAP kinase signaling pathway induces the vulva in C. elegans. We show that MPK-1 directly regulates both the LIN-31 winged-helix and the LIN-1 Ets transcription factors to specify the vulval cell fate. lin-31 and lin-1 act genetically downstream of mpk-1, and both proteins can be directly phosphorylated by MAP kinase. LIN-31 binds to LIN-1, and the LIN-1/LIN-31 complex...

Although pretibial myxedema (PTM) occurs in 4.3% of patients with Graves's disease, the most severe variant, elephantiasis nostras verrucosa, is found in less than 1% of cases. The most frequent location of infiltration is the lower extremities, especially the pretibial areas and on the dorsum of the foot. The authors report one of the most severe cases of elephantiasis nostras verrucosa, follo...

We present a case of Elephantiasis Nostras Verrucosa in a patient of leprosy with peripheral neuropathy.

This guideline offers recommendation on the management of a range of vulval disorders which may present to genitourinary medicine (GUM) clinics. Vulval disorders represent a disparate group of conditions with a variety of causes, affecting a particular anatomical site and may affect women of any age. These guidelines concentrate on a selected group of conditions, whichmay bemanaged by genitouri...

An epidemiological study of filariasis in three villages along the coast at Matara has shown a prevalence of microfilaraemia of 4.4% and a geometric mean microfilaraemia density of 20.6 microfilariae/60ul of fingerprick blood. These are higher than previous values for the area. Prevalence is lower in females compared to males, and also in males under 20 years compared to the older males. Clinic...

In a total of 1977 males aged 5 years and over examined in 21 cluster samples on the coast of Tanzania, the overall rate for microfilariae of Wuchereria bancrofti was 32%. Hydrocoele and elephantiasis rates were 39% and 3%, respectively. The rates and severity of these 2 clinical manifestations increased in the older age groups. Both the microfilarial density and prevalence increased rapidly in...