title: Vaginal intraepithelial neoplasia III detected after hysterectomy for benign conditions.
abstract: Because primary vaginal cancer is rare, many experts discourage routine cytologic sampling of the vaginal vault following hysterectomy for benign circumstances. The following report describes a case of vaginal intraepithelial neoplasia III (VAIN III) detected by a vaginal vault Papanicolaou smear obtained from an asymptomatic 57-year-old woman 23 years after she had a total abdominal hysterectomy for a benign condition. As VAIN III is a true vaginal cancer precursor, the innocent disregard of recommended screening practices averted significant morbidity and possibility mortality for this otherwise healthy woman.
authors: Department of Family Medicine, Medical College of Georgia, Augusta 30912-3500.
authors: D G
authors: DG
authors: Ferris
authors: M J
authors: MJ
authors: Messing
authors: J H
authors: JH
authors: Crosby
mesh_terms: D002278:Carcinoma in Situ / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D065006:Papanicolaou Test; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology; D012307:Risk Factors; D002575:Uterine Cervicitis / Q000601:surgery; D014621:Vagina / Q000473:pathology; D014625:Vaginal Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D014626:Vaginal Smears