Re: VIN 3

From: Charles Bloom (cdsb@bellsouth.net)
Tue May 20 05:17:43 2008


It's only VIN-3. A simple excision should be sufficient.

Charles

>----- Original Message -----
From: Glen Elrod <dr99645@yahoo.com> Date: Monday, May 19, 2008 4:48 pm Subject: VIN 3 To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>

> 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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