Imiquimod cream and CO2 laser vaporization in vulvar intraepithelial neoplasia (VIN) 2/3 treatment

Imiquimod cream and CO2 laser vaporization in vulvar intraepithelial neoplasia (VIN) 2/3 treatment

Author Rama, Ana Luisa de Figueiredo e Silva Autor UNIFESP Google Scholar
Speck, Neila Maria de Góis Autor UNIFESP Google Scholar
Carvalho, Carmen Regina Nogueira de Autor UNIFESP Google Scholar
Schimidt, Manoel Antonio Autor UNIFESP Google Scholar
Ribalta, Julisa Chamorro Lascasas Autor UNIFESP Google Scholar
Abstract Objectives: To compare the use of topical 5% imiquimod (IMQ) cream or CO2 laser vaporization as the treatment of vulvar intraepithelial lesions (VIN) 2/3 and to evaluate the degrees of residual or recurrent lesions. Materials and Methods: Twenty-nine women with VIN 2/3 were separated into two groups, according to the proposed treatments. All were submitted to collection of vulvar swabs for DNA genotyping of human papillomavirus (HPV), vulvoscopy, and biopsy of the found lesions. After treatment they were followed up in quarterly consultations to (until) possible appearance of new lesions or along one year. Results: The findings were similar in effectiveness and presence of residual or recurrent lesions on the performed treatments. However, patients treated with topical 5% IMQ cream had less severe lesions in histological recurrence when compared to those submitted to the CO2 laser vaporization. Conclusions: The effectiveness of topical 5% IMQ cream was similar to that of CO2 laser vaporization. There was no difference between the treatments for the presence of residual or recurrent lesions. However, patients who received IMQ had less aggressive lesions than those submitted to the treatment with CO2 laser vaporization.
Keywords Vulvar intraepithelial neoplasia
CO2 vaporization
Imiquimod cream
xmlui.dri2xhtml.METS-1.0.item-coverage Montreal
Language English
Date 2017
Published in European Journal Of Gynaecological Oncology. Montreal, v. 38, n. 3, p. 368-371, 2017.
ISSN 0392-2936 (Sherpa/Romeo, impact factor)
Publisher I R O G Canada, Inc
Extent 368-371
Origin http://dx.doi.org/10.12892/ejgo3546.2017
Access rights Closed access
Type Article
Web of Science ID WOS:000401497500008
URI https://repositorio.unifesp.br/handle/11600/56299

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