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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1982-12-3
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pubmed:abstractText |
The authors reviewed the records of 50 patients with carcinoma in situ of the vulva seen at the State University of New York at Buffalo affiliated hospitals. Five patients (10%) were found to be immunosuppressed and 12 (24%) had other preinvasive and invasive genital or extragenital neoplasia. Of 43 patients whose symptomatology was available, almost half (46.5%) were asymptomatic. The most common symptom was vulvar itching in 18 (42%), and 32 (65%) patients had white vulvar lesions. Thirteen patients underwent vulvectomy, 23 underwent wide local excision, 8 underwent skinning and skin graft, 3 underwent topical 5-fluorouracil treatment, and 2 underwent CO2 laser treatment. On follow-up there were 6 patients with recurrent and/or persistent disease. Two recurrences followed wide local excision. Topical 5-fluorouracil failed in all 3 patients and CO2 laser failed in 1 of the 2 underwent laser treatment. There were 5 patients with invasive disease. In 3, diagnostic biopsy failed to reveal invasive neoplasia before surgical excision, and invasion was noted after 5-fluorouracil application in one and after CO2 laser treatment in another. All recurrences responded to therapy. In 41 patients followed up for 3 months to 11 years, there were no cancer-related deaths.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0029-7844
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
60
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
346-9
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pubmed:dateRevised |
2009-10-26
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pubmed:meshHeading |
pubmed-meshheading:7121915-Adolescent,
pubmed-meshheading:7121915-Adult,
pubmed-meshheading:7121915-Aged,
pubmed-meshheading:7121915-Carcinoma in Situ,
pubmed-meshheading:7121915-Female,
pubmed-meshheading:7121915-Fluorouracil,
pubmed-meshheading:7121915-Humans,
pubmed-meshheading:7121915-Immunosuppression,
pubmed-meshheading:7121915-Laser Therapy,
pubmed-meshheading:7121915-Middle Aged,
pubmed-meshheading:7121915-Neoplasms, Multiple Primary,
pubmed-meshheading:7121915-Pruritus Vulvae,
pubmed-meshheading:7121915-Vulvar Neoplasms
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pubmed:year |
1982
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pubmed:articleTitle |
Vulvar intraepithelial neoplasia.
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pubmed:publicationType |
Journal Article
|