The accuracy of surgeons' provided estimates for the duration of hysterectomies: a pilot study.

Study Objective: To determine the accuracy of gynecologic surgeons' estimate of operative times for hysterectomies and to compare these with the existing computer-generated estimate at our institution.

Design: Pilot prospective cohort study (Canadian Task Force classification II-2).

Setting: Academic tertiary women's hospital in the Northeast United States.

Multinucleated atypia of the vulva.

Multinucleated atypia of the vulva (MAV) is an entity with a distinctive histologic pattern of multinucleation in the basal and middle layers of the squamous epithelium that may mimic human papillomavirus (HPV)-related squamous atypias. MAV is rarely reported in the literature, and we believe it should be considered in the differential diagnosis of flesh-colored vulvar papules and vulvar epidermal atypias with multinucleated squamous cells. We describe the case of a 49-year-old patient with the diagnosis of MAV.