The vagina, oncological target: Vain and therapeutic strategies
Francesco Sopracordevole1 – , Nicolò Clemente1 – , Anna del Fabro1 –
1 – SOC of Oncological Gynecology – Oncological Reference Center of Aviano – IRCCS
Corresponding author: Francesco Sopracordevole
VaIN (Vaginal Intraepithelial Neoplasia) is a challenge disease for gynecologists: it is often undiagnosed, difficult to treat, with high rate of recurrence and, in some cases, it can progress to invasive vaginal cancer. Multiple treatments are often required, with a potential impairment of women’s quality of life. To get a proper diagnosis and adequate treatment, all the women with abnormal pap smear, should undergo an accurate colposcopic evaluation of vaginal walls. A colposcopy-guided biopsy of suspicious lesions is mandatory. The treatment of VaIN (especially the most complex cases) should be performed by expert colposcopists in referral centres.
Keywords: VaIN; vaginal intraepithelial neoplasia; pap smear; vaginal excision; vaginal surgery.
Available in LRIOG Nr.2 – 2021