La selección del tipo de espéculo que se vaya a utilizar dependerá de los datos obtenidos en el interrogatorio a la paciente, así como de la edad y paridad. Antecedentes Patológicos 9. Antecedentes Familiares Interrogatorio por Aparatos y Sistemas Historia Pediátrica Historia y Examen Ginecológico [30] [31][32] Métodos Previo interrogatorio ginecológico, se realizó citología exfoliativa cervico- vaginal (papanicolaou) a todas las pa- cientes que acudieron al.

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Arch Pathol Lab Med.

intetrogatorio The yinecologico human papilomavirus HR-HPV infection, human immunodeficiency virus HIV infection, smoking, cervical, vaginal and rectal intraepithelial neoplasia are considered to be high risk factors for development of VIN.

However, a clinical lesion is always present. Analysis of clonality and HPV infection in benign, hyperplastic, premalignant, and malignant lesions of the vulvar mucosa. N Engl J Med. Surgical excision and laser CO 2 vaporization are the most popular therapeutic modalities for VIN treatment, both with high rates of recurrence.

Clinical stains for cancer. Services on Demand Journal.

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Wide local excision in the gibecologico of vulvar carcinoma in-situ: Cytological evaluation correlates poorly with histological diagnosis of vulvar neoplasias.

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Am J Obstet Gynecol.

Treatment of intraepithelial carcinoma of the vulva by skin excision and graft. Husseinzadeh N, Recinto C. Rutledge F, Sinclair M. In situ and invasive vulvar cancer incidence trends to Evaluation of different treatment modalities for vulvar ginecloogico neoplasia VIN: Vulvar, vaginal, and perianal intraepithelial neoplasia in women with or at risk for human immunodeficiency virus.

A close follow-up of the patients is advised. High-grade vulval intraepithelial neoplasia VIN 3: The relevance of various vulvar epithelial changes in the early detection of squamous cell carcinoma of gineologico vulva. Laser ablation of surgical margins after excisional partial vulvectomy for VIN: Eur J Gynaecol Oncol. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Patients with diagnosis of VIN harbor an increased risk for vulvar invasive cancer.

Examen con espéculo

Efficacy of a quadrivalent prophylactic human papillomavirus types 6, 11, 16, 18 L1 virus-like-particle vaccine against high-grade vulval and vaginal lesions: Int J Gynecol Cancer. Inter-observer variation in histopathological diagnosis and grading of vulvar intraepithelial neoplasia: Carcinoma in situ of the vulva.

Am J Clin Pathol. Cyclooxigenase 2 expression in cervical intraepithelial neoplasia and vulvar cancer. Effect of antiretroviral therapy on the incidence of genital warts and vulvar neoplasia among women with the human immunodeficiency virus.


VIN is a heterogeneous pathological entity with a usual type warty, basaloid and mixed and a differentiated type. Trends in vulvar neoplasia.

Técnica de colocación del espéculo.

Analysis of alterations adjacent to invasive vulvar carcinoma and their relationship with associated carcinoma: Vulvar carcinoma in situ. Int J Gynecol Pathol. Gnecologico Low Genit Tract Dis.

EmBuscema et al. Cofactors with human papillomavirus in a population-based study of vulvar cancer. Mene A, Buckley CH. Skinning vulvectomy for the treatment of multifocal vulvar intraepithelial neoplasia. CO 2 laser vaporization, photodynamic therapy, excision and vulvectomy. Br J Obstet Gynaecol. Involvement of the vulval skin appendages by intraepithelial neoplasia. Genital warts, other sexually transmitted diseases, and vulvar cancer. Case-control study of cancer of the vulva.

Foro casiMedicos 2006-2010 (Solo Lectura) Nuevo Foro en

Squamous vulvar intraepithelial neoplasia: There are no specific symptoms or vulvar macroscopic aspects of VIN. Presence and type of oncogenic papillomavirus in classic and in differentiated vulvar intraepithelial neoplasia and keratinizing vulvar squamous cell carcinoma.

Topical imiquimod seems to be a promising treatment option.