|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Vulvar polyposisFrom: Diana Saari MD (guto0002@tc.umn.edu)Thu Mar 31 16:28:05 2005
40 yo P1041 s/p several years "enlarging labia", greatly increased in size last one year. Biopsy 1999 "lichen sclerosis"; 12/2004 "skin tags". Grossly gritty, polyploid-appearing enlargement of minora; polyploid growths into anus - traveling from minora across fourchette into anal opening. In our office: 1. Biopsy 3.9.05 "L vulvar bopsy-papilloma; post fourchette biopsy - lentigo, hyperkeratosis; L introitus biopsy - papilloma." 2. Pathology from a rather large vulvar excision that I helped my partner with 3.23.05(if you work with Somali women, it looked like a type III infibulation when we were done) "Vulva, labia excision - neurofibroma, patchy mild chronic inflammation; 'Rectal' polyp excision - anal mucosa with intradermal nevus, completely excised'. Note - The spindle cells in the stroma stain positively for S-100 indicating their schwannian origin." I saw her today, and it's apparent that this polyploid process is occuring in the lines of excision - there is big, shaggy polyploid tissue in the post fourchette and by the clitoal hood on the left. She is also bleeding - she thinks from the suture in the fourchette, but we fear from the rectum (? more plyps in there.) We are having the path re-read by dermatopathology. Has anyone ever seen such a thing? Any ideas who would have seen it? I have pictures, but no capacity to post them. I would be glad to send them off list.
-- Diana Saari MD FACOG guto0002@tc.umn.edu University Specialists in Women's Health Minneapolis, MN
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:39:11 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.