Re: VIN 3

From: Glen Elrod (dr99645@yahoo.com)
Tue May 20 15:23:06 2008


Great. Thats what I was getting from my reading. I just need to make sure there isn't any other area I missed and biopsy those before I take this of >f.

Thanks for the advise.

Glen

----- Original Message ---- From: Charles Bloom <cdsb@bellsouth.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Tuesday, May 20, 2008 2:19:58 AM Subject: RE: VIN 3

It¢s only VIN-3. A simple excision s >hould 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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