Guest guest Posted January 27, 2000 Report Share Posted January 27, 2000 Like Boric Acid, estrace is not chicken soup. Note 4th last line There is a concern here of local vulvar cancer and local estrogen therapy Also, not mentioned is the impact of systmeic absorption. Could it be absorbed systemically producing other effects such as stimulating an estrogen sensive beasr cancer or producing a stroke? No evidence of the latter 2 but likely not well tested. Of cours eit could be that the topical agents were used to treat a condition that became cancerhe When cortisone first came out in the early 50's it was the miracle drugm, used for everything. Then people beganto realize there were serious sude effects Analyzing prior clinical events at presentation in 102 women with vulvar carcinoma. Evidence of diagnostic delays. RW, Joura EA Department of Gynaecologic Oncology, National Women's Hospital, Auckland, New Zealand. OBJECTIVE: To evaluate the clinical events preceding the diagnosis of squamous cell carcinoma of the vulva. STUDY DESIGN: One hundred two women presenting with squamous cell carcinoma of the vulva to a gynecologic oncology unit between 1989 and 1996 were prospectively evaluated by a single investigator. History, clinical findings, previous physician contact, investigations and treatment were analyzed. RESULTS: Vulvar symptoms were present for more than six months in 88% and for more than five years in 28% of women. Eighty-five percent of patients had clinical evidence of abnormal skin adjacent to the cancer. Thirty-one percent of women had three or more medical consultations for vulvar symptoms prior to the diagnosis of cancer. Twenty-five percent of women had had a previous diagnostic vulvar biopsy, and 27% gave a history of having applied topical estrogen or corticosteroid to the vulva. Patients with a history of a preceding biopsy were more likely to present with stage 1 disease. CONCLUSION: Avoidable factors appear to be present in many women who present with vulvar cancer. A more active approach to the diagnosis and management of precursor lesions may often prevent the development of vulvar cancer. PMID: 10509298, UI: 99438714 Quote Link to comment Share on other sites More sharing options...
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