DIFFERENTIATED VULVAR INTRAEPITHELIAL NEOPLASIA: A CLINICAL EXAMPLE OF INTERDISCIPLINARY PATIENT MANAGEMENT
https://doi.org/10.52485/19986173_2024_2_144
Abstract
Differentiated vulvar intraepithelial neoplasia (dVIN) is an obligate precancer, develops during chronic vulvodermatoses, such as lichen sclerosus and lichen simplex chronicus. The epidemiological, clinical, pathomorphological, diagnostic, and prognostic features of dVIN are discusses. A clinical case of interdisciplinary management of a patient with dVIN, complicated by malignancy and urethral stricture, is presented. Early oncological alertness was demonstrated, microinvasive vulvar cancer in woman with of lichen sclerosus was diagnosed. It is actually, because there is high amount primary patients with advanced vulvar cancer. The joint work of oncologists, urologists, and gynecologists made it possible to successfully perform reconstructive plastic surgery for urethral stricture using a buccal graft for the first time in the Trans-Baikal Territory. Thanks to this the urinary function was restored and the quality of life improved.
About the Authors
E. V. Kayukova
Chita State Medical Academy; Trans-Baikal Regional Oncology Center
Russian Federation
Russian Federation
39A Gorky str., Chita, 672000;
104 Leningradskaya str., Chita, 672027
V. A. Dudarev
Chita State Medical Academy; Clinical Hospital "RZD-Medicine"
Russian Federation
Russian Federation
39A Gorky str., Chita, 672000;
4 Lenina str., Chita, 672000
T. М. Barkan
Clinical Hospital "RZD-Medicine"
Russian Federation
Russian Federation
4 Lenina str., Chita, 672000
A. A. Zajkina
Trans-Baikal Regional Oncology Center
Russian Federation
Russian Federation
104 Leningradskaya str., Chita, 672027
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Review
For citations:
Kayukova E.V., Dudarev V.A., Barkan T.М., Zajkina A.A. DIFFERENTIATED VULVAR INTRAEPITHELIAL NEOPLASIA: A CLINICAL EXAMPLE OF INTERDISCIPLINARY PATIENT MANAGEMENT. Transbaikalian Medical Bulletin. 2024;(2):144-151. (In Russ.) https://doi.org/10.52485/19986173_2024_2_144
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