Re: Gyn: VIN

From: Jefferson Delfino (dr.jefferson@uol.com.br)
Thu Mar 9 04:07:02 2006


2

---------- Início da mensagem original ----------- De: ob-gyn-l@obgyn.net Para: "Multiple recipients of list OB-GYN-L" ob-gyn-l@dns.obgyn.net Cc: Data: Wed, 8 Mar 2006 21:55:43 -0600 Assunto: Re: Gyn: VIN > #1
>
> Ef
>
> At Wed, 8 Mar 2006, D. Ashley Hill wrote:
> >
> >Listers-
> >
> >50-ish year-old patient with normal Pap history who had condyloma about
> >30 years ago developed a 3mm, flat, slightly raised lesion on vestibule.
> >I excised it completely during a biopsy, but without a wide-excision.
> >Path returned VIN-III with no evidence of VIN at the margin edges. Would
> >you:
> >
> >1. Follow clinically?
> >2. Follow with colposcopy?
> >3. Perform laser?
> >4. Perform wide local excision?
> >
> >Gracias.
> >
> >Ashley
> >
> >--
> >D. Ashley Hill, MD
> >Associate Director
> >Department of Obstetrics and Gynecology
> >Florida Hospital Family Practice Residency
> > and Loch Haven Ob/Gyn Group
> >Orlando, Florida
> >
>
> --
> “ The greatest obstacle to knowledge is not ignorance,
> it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>





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