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From the Departments of Gynecology and Obstetrics and of Laboratory Medicine, Geisinger Medical Center, Danville, Pennsylvania
Abstract
The transition from benign adenosis to clear cell carcinoma of the vagina has not been established beyond doubt. The history of a patient regularly followed in a diethystilbestrol (DES) clinic shows initial benign adenosis with normal cytology and subsequent development of abnormal cytology and clear cell adenocarcinoma. The authors suspect transition from benign epithelium to malignancy; however, detailed serial histologic study failed to show clear transition. Frequent and thorough examination of DES patients is needed if malignant change is to be diagnosed early.
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