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Surgical treatment of usual type vulvar intraepithelial neoplasia: a study at three academic hospitals

Surgical treatment of usual type vulvar intraepithelial neoplasia: a study at three academic hospitals
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摘要 Vulvar intraepithelial neoplasia (VIN) is a relatively uncommon disease that includes all of the precancerous lesions of vulvar malignancies with an incidence of approximately 2.5 per 100 000 women.In 2004,the International Society for the Study of Vulvovaginal Diseases (ISSVD) abolished the old VIN grading system and introduced a two-tier classification for squamous VIN:the usual type and the differentiated type;the term VIN applied only to histologically "high-grade" squamous lesions (old terms VIN 2 and VIN 3).1 The two types of VIN differ in etiology,morphology,biology,clinical features and malignant potential.The usual type VIN (uVIN),which is associated with HPV infection,is the most comrnon subtype,accounting for more than 80% of all VIN cases.Currently,the old 3-grade system of the VIN terminology is still used in most of the hospitals in China.In this presentation,we categorized the patients with the ISSVD 2004 classification standard and attempted to describe the clinical features and the outcome of surgical treatment of uVIN using the retrospective data from three academic hospitals in China. Vulvar intraepithelial neoplasia (VIN) is a relatively uncommon disease that includes all of the precancerous lesions of vulvar malignancies with an incidence of approximately 2.5 per 100 000 women.In 2004,the International Society for the Study of Vulvovaginal Diseases (ISSVD) abolished the old VIN grading system and introduced a two-tier classification for squamous VIN:the usual type and the differentiated type;the term VIN applied only to histologically "high-grade" squamous lesions (old terms VIN 2 and VIN 3).1 The two types of VIN differ in etiology,morphology,biology,clinical features and malignant potential.The usual type VIN (uVIN),which is associated with HPV infection,is the most comrnon subtype,accounting for more than 80% of all VIN cases.Currently,the old 3-grade system of the VIN terminology is still used in most of the hospitals in China.In this presentation,we categorized the patients with the ISSVD 2004 classification standard and attempted to describe the clinical features and the outcome of surgical treatment of uVIN using the retrospective data from three academic hospitals in China.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2014年第4期784-786,共3页 中华医学杂志(英文版)
关键词 TREATMENT VULVA surgical excision vulvar intraepithelial neoplasia treatment vulva surgical excision vulvar intraepithelial neoplasia
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参考文献5

  • 1Sideri M,Jones RW,Wilkinson E J,Preti M Heller DS Scurry J. Squamous vulvar intraepithelial neoplasia:2004 modified terminology,ISSVD Vulvar Oncology Subcommittee[J].{H}Journal of Reproductive Medicine,2005.807-810.
  • 2Hart WR. Vulvar intraepithelial neoplasia:historical aspects and current status[J].{H}INTERNATIONAL Journal OF GYNECOLOGICAL PATHOLOGY,2001.16-30.
  • 3McNally OM,Mulvany N J,Pagano R,Quirm MA Rome RM. VIN 3:a clinicopathologic review[J].{H}International Journal of Gynecological Cancer,2002.490-495.
  • 4Jones RW,Rowan DM,Stewart AW. Vulvar intraepithelial neoplasia:aspects of the natural history and outcome in 405 women[J].{H}OBSTETRICS AND GYNECOLOGY,2005.1319-1326.
  • 5Hillemanns P,Wang X,Staehle S,Michels W Dannecker C. Evaluation of different treatment modalities for vulvar intraepithelial neoplasia (VIN):CO2 laser vaporization,photodynamic therapy,excision and vulvectomy[J].{H}Gynecologic Oncology,2006.271-275.

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