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Review
. 2024 Jul;310(1):1-10.
doi: 10.1007/s00404-024-07530-1. Epub 2024 May 14.

Comprehensive evaluation of vaginal intraepithelial neoplasia development after hysterectomy: insights into diagnosis and treatment strategies

Jiahui Wei  1 , Yumei Wu  2
Affiliations
Review

Comprehensive evaluation of vaginal intraepithelial neoplasia development after hysterectomy: insights into diagnosis and treatment strategies

Jiahui Wei et al. Arch Gynecol Obstet. 2024 Jul.

Abstract

Vaginal intraepithelial neoplasia (VaIN), a precancerous lesion associated with human papillomavirus (HPV), impacts women's health and quality of life. However, the natural progression of VaIN after hysterectomy remains uncertain, due to its low incidence. The existing literature predominantly consists of single-center retrospective studies lacking robust evidence-based medicine. The management of VaIN after hysterectomy is diverse and controversial, lacking a consensus on the optimal approach. Therefore, it is imperative to investigate the development of VaIN after hysterectomy, emphasizing the importance of accurate diagnosis and effective management strategies.

Keywords: Clinical features; Diagnosis; Hysterectomy; Management; Vaginal intraepithelial neoplasia.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Vaginal LSIL after hysterectomy. (A) Macroscopic view under colposcopy. (B) View under green filter. (C) Iodine staining test view under colposcopy
Fig. 2
Fig. 2
Vaginal HSIL after hysterectomy. (A) Macroscopic view under colposcopy. (B) View under green filter. (C) Iodine staining test view under colposcopy
Fig. 3
Fig. 3
Vaginal LSIL after postoperative radiotherapy and chemotherapy for cervical cancer. (A) Macroscopic view under colposcopy. (B) View under green filter. (C) Iodine staining test view under colposcopy
Fig. 4
Fig. 4
Vaginal HSIL after postoperative radiotherapy and chemotherapy for cervical cancer. (A) Macroscopic view under colposcopy(× 11 times). (B) Macroscopic view under colposcopy(× 12 times). (C) Iodine staining test view under colposcopy
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