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APLICAÇÃO DO LASER DE CO2 NA NEOPLASIA INTRAEPITELIAL VAGINAL

1 Médica Assistente Departamento de Genitoscopia do CRSM - Hospital Pérola Byington Renata A. Belotto1 Resumo A neoplasia intraepitelial de vagina é uma condição rara que vem apresentando um crescimento significativo entre pacientes jovens, devido à associação com infecção pelo Papilomavirus humano. O aspecto multifocal e papilar das lesões e a rugosidade excessiva da vagina justificam as recidivas pós tratamento. O objetivo do estudo é apresentar a experiência do tratamento da NIVA (neoplasia intraepitelial vaginal) com Laser de CO2. O Laser de CO2 foi aplicado na potência de 25 W e densidade de potência de 500 W/cm2, modo contínuo, acoplado ao Colposcópio com 10 vezes de aumento sob visão colposcópica, em 55 pacientes com diagnóstico histológicode NIVA. A técnica foi de vaporização com profundidadede 2 mm e margem de segurança de 5 mm. As recidivas posteriores ao tratamento foram 3/55 (5,4%); 38/55 (69%) obtiveram remissão total das lesões com uma aplicação;17/55 (30,9%) necessitaram de duas ou mais aplicações, e 31/55 (56,4%) apresentaram multifocalidade das lesões. Nenhuma complicação quanto à estenose vaginal foi observada e a preservação funcional da vagina manteve-se em todas as pacientes. Descritores: Neoplasia intraepitelial de vagina, Laser de CO2, HPVb Abstract Objective: To describe experience in VAIN’S treatment withCO2 Laser. Method: 55 patients with the diagnosis of VAIN weretreated by Laservaporization, 25W of potency, depth vaporization of 2 mm and 5 mm margin of adjacent tissue. Results: There were3/55 (5,4%) recorrences, 17/55 (31%) needed more than one application, 38/55 (69%) had a initial remission response; 31/55 (56,4%) showed associated lesions. There were no complications and vaginalfunction was preserved. Descriptors: Vaginal intraepithelial neoplasia, CO2 Laser, HPV8 Contato: mail: rebelotto@terra.com.br

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