The most common location for VAIN is at the upper third of the vagina (including the vaginal cuff).
The most common excisional procedure employed for VAIN is upper vaginectomy.
But how do we identify the patient at high risk
for VAIN so that we can provide extra resources (screening or colposcopy services)?
A woman who has had radiation therapy for endometrial cancer and presents with an abnormal Pap smear exemplifies one clinical scenario in which the index of suspicion
for VAIN should be high, he noted.
Treatments
for VAIN include excisional biopsy in the office, intravaginal 5-fluorouracil, laser ablation or electrofulguration, and partial vaginectomy.
There are multiple suggested treatments
for VAIN, all based on case series.
Treatments
for VAIN include excisional biopsy in the office, intravaginal 5-fluoracil, laser ablation or electrofulguration, and partial vaginectomy.