LICHEN SCLEROSUS ET ATROPHICUS (VULVAR DISEASE) AND A CORRELATION WITH COLORECTAL DISEASE OR CANCER
Date: Fri, 8 Dec 2000 13:10:10 -0600
Reply-To: ob-gyn-l@obgyn.net
Originator: ob-gyn-l
Sender: ob-gyn-l@obgyn.net
From: sanbonav@tin.it
To: Multiple recipients of list OB-GYN-L
Subject: lichen sclerosus et atrophicus and colorectal ca
X-Comment: Obstetrics & Gynecology for Medical Professionals ONLY
In my  clinical experience the last  four women I found with lichen
sclerosus et atrophicus had a correlation with gastrointestinal cancer .
(Honestly previously I didn't pay attention to those facts)
Two had lichen sclerosus et atrophicus and later a colon-rectal cancer,and two
had a familiarity positive for colon rectal cancer.
What shocked me was a women with  rectal cancer who told me the complete
disappearance of vulvar itching she had for years, after  radiation
therapy.I suspect that lichen sclerosus and atrophicus and unexplained
vulvar itching can also be considered like a  kind of carcinoid syndrome of
gastrointestinal cancer or disease(release of Histamine like substances?)
So ,when I see a woman with unexplained vulvar itching or lichen sclerosus
et atrophicus I have decided to ask (as screening):
1)about family history of gastrointestinal cancer or disease
2)CEA (CarcinoEmbryonic Antigen)plasmatic marker (used for colonrettal
cancer screening)
3)fecal occult blood test
Then I  suggest a ipoallergenic ,low fat ,fibres rich diet (preventive
medicine)
Obviously if suspect of colon rectal cancer is strong I ask specific
examinations
(more invasive and more expensive)
Hope this helps.
Emilio Porro  Ob&Gyn M.D.
Como-Italy
--------------------------------------------------------------------------------------------------------------------
At 23.52 05/12/00 -0600, you wrote:
>I also talk with all of my patients approaching 50 or over 50 about
>colorectal screening as well as anyone with a family hx of colon cancer as
>they may need it earlier depending on the age at which their family member
>
>
>I'm curious to know if patients in the private sector are given a choice of
>
>In the HMO I'm in, patients without fam hx or +FOBT cannot get a colonoscopy
>and more and more patients are realizing that things can be missed on the
>flex sig and aren't happy that they don't have a choice...
>Caryn Rybczynski M.D.
>
>In a message dated 12/5/00 4:46:46 PM Pacific Standard Time,
>ob-gyn-l@obgyn.net writes:
>
>I strongly recommend colon cancer screening to all of my patients over
> I don't know about your experiences, but probably only 20-30%
> ACOG's recommendation does not correlate completely with what I
> The big
>selling point for colonoscopy rather than sigmoidoscopy is that if it is
>normal, fecal occult blood tests do not have to be obtained in the
>intervening years and it has to be done every 10 years rather than every
> The purpose of the fecal occult blood is to check for the
>"higher lesions" that may have been missed by only looking partially at
>the colon.
>
Porro Emilio
Ob-Gyn.M.D.
Via Zezio 69
22100 COMO (Alessandro Volta City)
ITALY
phone:031/30 21 46
e-mail:
sanbonav@tin.it
sanbonav@hotmail.com
Who,Whom,Which,With,What,Why,Where,When,Whose,Whole,Want,Wether,While,Whatev
er,Watch
WORLD WIDE WEB
MONEYFREE informations about breech babies prevention,natural MONEYFREE
products for birth labour pain control and mother and fetus wellbeing  at
http://www.sanbonaventura.com
Date: Fri, 8 Dec 2000 17:29:18 -0600
Reply-To: ob-gyn-l@obgyn.net
Originator: ob-gyn-l
Sender: ob-gyn-l@obgyn.net
From: annam@uic.edu (Anna Meenan, MD)
To: Multiple recipients of list OB-GYN-L
Subject: Re: lichen sclerosus et atrophicus and colorectal ca
X-Comment: Obstetrics & Gynecology for Medical Professionals ONLY
Interestingly enough, my mother who has lichen sclerosis et atrophicus
also has had multiple colon polyps removed, and we have quite a strong
family history of colon polyps now (my mother, her father and brother,
and now my sister), but I'm not sure that a series of 5 is enough to
make a syndrome out of this correlation.  Has anybody seen anything in
the literature on this? I haven't.
Anna Meenan (planning colonoscopy after the holidays due to recent
change in family history.  Can't wait.  NOT!)
At Fri, 08 Dec 2000, sanbonav@tin.it wrote:
>
>In my  clinical experience the last  four women I found with lichen
>sclerosus et atrophicus had a correlation with gastrointestinal cancer .
>(Honestly previously I didn't pay attention to those facts)
>Two had lichen sclerosus et atrophicus and later a colon-rectal cancer,and two
>had a familiarity positive for colon rectal cancer.
>What shocked me was a women with  rectal cancer who told me the complete
>disappearance of vulvar itching she had for years, after  radiation
>therapy.I suspect that lichen sclerosus and atrophicus and unexplained
>vulvar itching can also be considered like a  kind of carcinoid syndrome of
>gastrointestinal cancer or disease(release of Histamine like substances?)
>So ,when I see a woman with unexplained vulvar itching or lichen sclerosus
>et atrophicus I have decided to ask (as screening):
>1)about family history of gastrointestinal cancer or disease
>2)CEA (CarcinoEmbryonic Antigen)plasmatic marker (used for colonrettal
>cancer screening)
>3)fecal occult blood test
>Then I  suggest a ipoallergenic ,low fat ,fibres rich diet (preventive
>medicine)
>Obviously if suspect of colon rectal cancer is strong I ask specific
>examinations
>(more invasive and more expensive)
>Hope this helps.
>Emilio Porro  Ob&Gyn M.D.
>Como-Italy
>
>At 23.52 05/12/00 -0600, you wrote:
>>I also talk with all of my patients approaching 50 or over 50 about
>>colorectal screening as well as anyone with a family hx of colon cancer as
>>they may need it earlier depending on the age at which their family member
>>
>>I'm curious to know if patients in the private sector are given a choice of
>>
>>In the HMO I'm in, patients without fam hx or +FOBT cannot get a colonoscopy
>>and more and more patients are realizing that things can be missed on the
>>flex sig and aren't happy that they don't have a choice...
>>Caryn Rybczynski M.D.
>>
>>In a message dated 12/5/00 4:46:46 PM Pacific Standard Time,
>>ob-gyn-l@obgyn.net writes:
>>
>>I strongly recommend colon cancer screening to all of my patients over
>> I don't know about your experiences, but probably only 20-30%
>> ACOG's recommendation does not correlate completely with what I
>> The big
>>selling point for colonoscopy rather than sigmoidoscopy is that if it is
>>normal, fecal occult blood tests do not have to be obtained in the
>>intervening years and it has to be done every 10 years rather than every
>> The purpose of the fecal occult blood is to check for the
>>"higher lesions" that may have been missed by only looking partially at
>>the colon.
>>
>Porro Emilio
>Ob-Gyn.M.D.
>Via Zezio 69
>22100 COMO (Alessandro Volta City)
>ITALY
>phone:031/30 21 46
>e-mail:
>sanbonav@tin.it
>sanbonav@hotmail.com
>Who,Whom,Which,With,What,Why,Where,When,Whose,Whole,Want,Wether,While,Whatev
>er,Watch
>WORLD WIDE WEB
>MONEYFREE informations about breech babies prevention,natural MONEYFREE
>products for birth labour pain control and mother and fetus wellbeing  at
>http://www.sanbonaventura.com
______________________________________________________________________________