Open AccessSuccessful endoscopic treatment for high-grade cervical intraepithelial neoplasia with gross lesions of the vagina
Author(s) -
Koyo Yamamoto,
Miho Kitai,
Keizô Yamamoto,
Takashi Sakuma,
Shoji Nagao,
Satoshi Yamaguchi
Publication year - 2021
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.4103/gmit.gmit_119_19
Subject(s) - medicine , vagina , cervical intraepithelial neoplasia , lesion , intraepithelial neoplasia , magnetic resonance imaging , histopathological examination , pelvic examination , hysterectomy , surgery , radiology , cervical cancer , pathology , cancer , prostate
We present a patient diagnosed with high-grade cervical intraepithelial neoplasia (CIN) combined with macroscopic lesions of the vaginal epithelium. There was no lesion in pelvic magnetic resonance imaging examination, and histopathological examination revealed CIN3 and vaginal intraepithelial neoplasia (VAIN) 3 without invasion. We chose minimally invasive surgery for her and total laparoscopic hysterectomy with partial resection of the vagina was carried out. To determine appropriate surgical margins, vaginal colpotomy was performed. No recurrence of VAIN has been observed to date that passed for 9 months either.