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Re: VINFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Thu Mar 9 23:20:01 2006
No. 1. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. Ashley Hill Sent: Thursday, 9 March 2006 2:44 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
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