Re: VIN

From: ainsron (ainsron@sbcglobal.net)
Thu Mar 9 07:44:37 2006


Colposcopy then follow clinically.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. Ashley Hill Sent: Wednesday, March 08, 2006 7:44 PM To: Multiple recipients of list OB-GYN-L Subject: Gyn: VIN

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




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