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BETHESDA, MD. -- HIV-positive women should be assessed for vulvar and vaginal intraepithelial neoplasia, not just cervical intraepithelial neoplasia, according to Dr. Berthe Hollwitz.
Vulvar intraepithelial neoplasia (VIN) and vaginal intraepithelial neoplasia (VAIN) are not uncommon in women with HIV infection, and they often develop concurrently with high-grade cervical lesions. For this reason, "colposcopy and vulvoscopy are essential diagnostic tools in HIV-infected women," Dr. Hollwitz said at an international conference on malignancies in AIDS and other immunodeficiencies.
She and her associates studied 194 HIV-positive women aged 19-69 years for a median of 27 months to track the development of high-grade vulvar or vaginal lesions. Sixteen subjects (8%) were found to have high-grade VIN or VAIN; 12 of these women had VIN, 3 had ...
Source: HighBeam Research, Assess HIV-positive women for vulvar, vaginal intraepithelial...