Reference no: EM133565805

Question

Preoperative Diagnosis: Mass Postoperative Diagnosis: Intracellular neoplasm Procedure: Biopsy with excision of vulvar area This 49-year-old patient has been seen by me for the last six weeks. She has had biopsies of lesions that extend from the clitoris on the left. The pathology report taken on 12/31/XX confirmed condyloma and dysplasia that extends to the lateral margins. A pap smear was obtained and the pathology was found to be negative. Today the patient presents for an excisional biopsy. Procedure: The patient was placed in the dorsal lithotomy position and the vagina was prepped and draped in the usual sterile fashion. The condylomatous changes were easily demarcated. The area was prepped with Betadine and 10 cc of 1% Xylocaine. In an elliptical fashion the entire lesion was excised with an addition of a 6 mm margin on both sides. Bleeding was controlled and the skin edges were closed with a continuous locked suture of 4-0 Vicryl. The patient tolerated the procedure and was sent to the recovery area in stable condition. The tissue was sent to pathology for analysis.