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VIN 3From: Glen Elrod (dr99645@yahoo.com)Mon May 19 18:47:07 2008
48 yo with a history of adenocarcinoma in situ of the cervix 10 years ago, treated with LEEP x 2 and q6 month Pap for 5 years, presented for yearly exam. Vulvar exam showed a 2cm lesion. Punch biopsy shows VIN3. Pap pending. I need to bring her in for a more complete vulvar exam, but if this is the only lesion, would you simply do a wide excision or should she be referred to onc for more aggressive surgery? thanks, Glen
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