Appendix C to Part 4 - Veterans Affairs

, Sx itch/burn. Dx – see immature . squamous epithelial cells. on wet prep, rounded basal cells. Tx – may leave alone, or give . estrogen therapy. Vaginal carcinoma – rare; elderly usually. Sx - vaginal bleeding, foul discharge. Dx - often SCC as . metastatic spread, or . clear cell carcinoma. from old DES drug. Tx - surgical exision ... ................
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