Servi̇kal İntraepi̇telyal Neoplazi̇ Ti̇p II (CIN II) Tanısı Sonrası 10. Yılda Ortaya Çıkan Vulvar İntraepi̇telyal Neoplazi̇ Ti̇p II (VIN II) : Olgu Sunumu
Vulvanın intraepitelyal neoplazileri (VIN) çoğunlukla vulvanın invaziv kanserinin öncül lezyonları olarak kabul edilmektedir. İnsan siğil virüsleri (HPV) kadın alt genital sisteminin prekanseröz lezyonları ile yakın ilişkilidir. HPV virüsleriyle enfekte olan hastalarda küratif tedavi yapılsa dahi, genital sistemin başka bir kısmında tekrar prekanseröz lezyonlar gelişebilir. Bizler de HPV tip 16 (+) CIN II nedeniyle total abdominal histerektomi olan bir hastada 10 yıl sonra genital kaşıntı şikayeti ile ortaya çıkan VIN II olgusunu bildirmekteyiz.
Vulvar Intraepitelial Neoplasia Type’II (VIN’II) After 10 Years From Hysterectomy For Cervıcal Intraepitelial Neoplasia Type’II: A Case Report
Vulvar intraepitelial neoplasias (VIN) are usualy considered as precancerous lesions. Human Papilloma Viruses (HPV) have closed relation with womenÂ’s genitalia precancerous lesions. New precancerous lesions from adjacent tissues may appear even after curative therapy for HPV leisons. We present a VIN II case that she had hysterectomy 10 years ago for cervical intraepitelial neoplasia type II originated from HPV 16 infections.
___
- 1. Xiaochuan Li a, Lan Zhu a, Yu Gu a, Hangmei Jin b, Changyu Wang c, Jinghe Lang A multicenter study of the clinical characteristics of usual-type vulvar intraepithelial neoplasia in China International Journal of Gynecology and Obstetrics 117 (2012) 18–22)
- 2. van Beurden M, ten Kate FJ, Smits HL, Berkhout RJ, de Craen AJ, van der Vange N, Lammes FB, ter Schegget J. Multifocal vulvar intraepithelial neoplasia grade III and multicentric lower genital tract neoplasia is associated with transcriptionally active human papillomavirus.
- 3. Sideri M, Vulvar Intraepithelial NeoplasiaHow to classify it correctly? European Instıtute of Oncology, Milano Italy. International Journal Of Gynecology & Obstetrics 119S3 (2012) S161-S260
- 4. Quannetta T. Edwards, NP, Sherri SaundersGoldson, NP, Phyllis D. Morgan, NP, Ann Maradiegue, NP, and Cynthia Macri, MD Vulvar Intraepithelial Neoplasia Varied Signs, Varied Symptoms: What You Need to Know
- 5. Wallbillich J.J ., Rhodes H.E., Milbourne A.M., Munsell M.F., Frumovitz M., Brown j., Trimble C.L., Schmeler K.M. Vulvar intraepithelial neoplasia (vın 2/3): Comparing clinical outcomes and evaluating risk factors for recurrence Gynecologic Oncology 127 (2012) 312-315
- 6. Hillemanns 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 Gynecologic Oncology 100 (2006) 271-275
- 7. Gustaf Edgren, Pär Sparén Risk of anogenital cancer after diagnosis of cervical intraepithelial neoplasia: a prospective population-based study The Lancet Oncology, Volume 8, Issue 4, Pages 311-316.