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Re: VIN 3From: FRANCES WREN (fwren@shaw.ca)Tue May 20 00:51:10 2008
----88e46526178d1d70529a Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit horrors...that is a big lesion.. ?nodes etc frances wren md frcs
>----- Original Message -----
> 48 yo with a history of adenocarcinoma in situ of the cervix 10 ----88e46526178d1d70529a Content-Type: text/html; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit <DIV>horrors...that is a big lesion..</DIV> <DIV>?nodes etc</DIV>
><DIV>frances wren md frcs<BR><BR>----- Original Message -----<BR>From: Glen Elrod <dr99645@yahoo.com><BR>Date: Monday, May 19, 2008 4:48 pm<BR>Subject: VIN 3<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> 48 yo with a history of adenocarcinoma in situ of the cervix 10 <BR>> years ago, treated with LEEP x 2 and q6 month Pap for 5 years, <BR>> presented for yearly exam. <BR>> <BR>> Vulvar exam showed a 2cm lesion. Punch biopsy shows <BR>> VIN3. Pap pending.<BR>> <BR>> I need to bring her in for a more complete vulvar exam, but if <BR>> this is the only lesion, would you simply do a wide excision or <BR>> should she be referred to onc for more aggressive surgery?<BR>> <BR>> thanks, <BR>> <BR>> Glen<BR>> <BR>> <BR>> </DIV> ----88e46526178d1d70529a--
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