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Radiotherapy in the management of vaginal intraepithelial neoplasia after hysterectomy
Author(s) -
WOODMAN CIARAN B.,
MOULD JOHN J.,
JORDAN JOSEPH A.
Publication year - 1988
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1988.tb06500.x
Subject(s) - medicine , hysterectomy , cervical intraepithelial neoplasia , radiation therapy , gynecology , intraepithelial neoplasia , surgery , obstetrics , cervical cancer , cancer , prostate
Summary. Intravaginal radium was used to treat 11 patients who were found to have vaginal intraepithelial neoplasia (VAIN) following hysterectomy for cervical intraepithelial neoplasia. All were discovered by cytological follow‐up, were colposcopically assessed and diagnosis was confirmed by histological examination before treatment. Nine of 10 patients questioned continue to enjoy satisfactory sexual intercourse after treatment but 6 of 8 premenopausal patients subsequently became oestrogen deficient and required hormone replacement therapy. No other significant morbidity has been observed. All remain cytologically and colposcopically free of disease after a median follow‐up of 26 months. We conclude that radiotherapy is an effective treatment of VAIN following hysterectomy.