E22. ISSVD Terminology for Vulvar Intraepithelial Neoplasia (VIN) and Squamos Intraepithelial Lesions (SIL) (audio)
Talking O&G - a RANZCOG PodcastShow Notes
In this episode of Talking O&G: a RANZCOG Podcast, host Dr Anna Clare speaks with Conj A/Prof Tania Day about gynaecologists' role in prevention of vulvar squamous cell carcinoma by identifying and treating vulvar intraepithelial neoplasia (VIN) and distinguishing these from benign squamous intraepithelial lesions (SIL). They unpack the recently published 2026 International Society for the Study of Vulvovaginal Disease (ISSVD) terminology guide, on which Conj A/Prof Day was lead author. The ISSVD terminology was last updated in 2015, and there have since been major advancements in the clinical understanding of VIN histopathology and immunohistochemistry. Dr Clare and Conj A/Prof Day examine these developments, outlining the new preferred terminology, as well as diagnosis, treatment, and follow up. They highlight the importance of consistent language to aid collective efforts in vulval cancer elimination. 🔗 Resources mentioned in this episode:
2026 International Society for the Study of Vulvovaginal Disease (ISSVD) terminology for vulvar intraepithelial neoplasia and squamous intraepithelial lesions
📌 RANZCOG members can submit CPD at: https://shorturl.at/iq733 💬 If you found this episode valuable, please rate, review, subscribe, and share it with your colleagues. RANZCOG acknowledges the need for more inclusive terminology for gender diversity. In this podcast we aim to use inclusive language, and any use of the term “women” should be interpreted to include all people requiring gynaecological and obstetric care. The views expressed are those of the speakers and may not reflect the official position of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG).
More from Talking O&G - a RANZCOG Podcast
In this episode of Talking O&G: a RANZCOG Podcast, host Dr Heather Waterfall speaks to gynaecologist Dr Catriona Melville and general practitioner Dr Anita Muñoz about RANZCOG’s binational clinical guideline Management of Vasomotor and Genitourinary Symptoms of Menopause. Dr Melville and Dr Muñoz speak on the scope of the guideline and how it can be used to support clinicians in assessment and treatment of vasomotor and genitourinary symptoms during menopause. They unpack the range of recommendations in the guideline, including menopausal hormone therapy (MHT) and non-hormonal therapies, and considerations such as when to begin and cease treatment, and treating women with a history of breast cancer. 🔗 Resources mentioned in this episode:
In this episode of Talking O&G: a RANZCOG Podcast, host Dr Heather Waterfall speaks to gynaecologist Dr Catriona Melville and general practitioner Dr Anita Muñoz about RANZCOG’s binational clinical guideline Management of Vasomotor and Genitourinary Symptoms of Menopause. Dr Melville and Dr Muñoz speak on the scope of the guideline and how it can be used to support clinicians in assessment and treatment of vasomotor and genitourinary symptoms during menopause. They unpack the range of recommendations in the guideline, including menopausal hormone therapy (MHT) and non-hormonal therapies, and considerations such as when to begin and cease treatment, and treating women with a history of breast cancer. 🔗 Resources mentioned in this episode:
In this episode of Talking O&G: a RANZCOG Podcast, host A/Prof Scott White speaks to Dr Lucy Bowyer about the SOMANZ guidelines for the investigation and management of sepsis in pregnancy. Despite the overall maternal mortality rate declining in Australia, rates of maternal sepsis remain stable, and it is one of the most common causes of maternal deaths reported by the Australian Institute of Health and Welfare. A/Prof White and Dr Bowyer examine the statistics and why they have not declined alongside the overall maternal mortality rate. They explore the recommendations in the SOMANZ guideline and how they can be used to improve sepsis detection and treatment. Dr Bowyer provides actionable advice for clinicians regarding considerations such as anaesthesia, fetal surveillance, and antibiotics while breastfeeding. 🔗 Resources mentioned in this episode:
In this episode of Talking O&G: a RANZCOG Podcast, host A/Prof Scott White speaks to Dr Lucy Bowyer about the SOMANZ guidelines for the investigation and management of sepsis in pregnancy. Despite the overall maternal mortality rate declining in Australia, rates of maternal sepsis remain stable, and it is one of the most common causes of maternal deaths reported by the Australian Institute of Health and Welfare. A/Prof White and Dr Bowyer examine the statistics and why they have not declined alongside the overall maternal mortality rate. They explore the recommendations in the SOMANZ guideline and how they can be used to improve sepsis detection and treatment. Dr Bowyer provides actionable advice for clinicians regarding considerations such as anaesthesia, fetal surveillance, and antibiotics while breastfeeding. 🔗 Resources mentioned in this episode:
In this episode of Talking O&G: a RANZCOG Podcast, host Dr Heather Waterfall speaks with Dr Rosie McBain, gynaecological oncologist, about cystic spaces in the endometrium on ultrasound and the correlation with endometrial hyperplasia or cancer. Dr McBain draws from the retrospective cohort study she conducted to examine this topic, the findings of which are published in ANZJOG. Dr Waterfall and Dr McBain discuss the findings of the study, its clinical implications, and areas that require further research. They address the nuances of clinical studies and the importance of patient-centred, individualised care. 🔗 Resources mentioned in this episode: