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Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(7):377-380
DOI 10.1590/S0100-72031998000700002
Parpose: to analyze the epidemiologic factors, clinical manifestations and forms of treatment of infection with papiloma virus. Method: all cases of condyloma acuminatum in children and adolescents assisted in the period from 1990 to 1995 in the Service of Children and Adolescent Gynecology were revised. We present the following data: age, diagnosis, clinical manifestations, sites of the lesions, transmission modes and treatment. Results: the average age of the 18 studied cases, was 6 years and 11 months (ranging from 2 to 15 years). The most common clinical manifestation was the presence of warts (61.1%). The lesions were located in the vulvoperineal area in 44.4% of the patients, and perianal and vulvar lesions were observed respectively in 27.8% and 22,2% of the cases. It was not possible to confirm the occurrence of sexual abuse or of condyloma lesions in the parents in 66.7% of the cases. Probable sexual abuse (not confirmed) was reported in 2 cases. The basic therapy was chemical cauterization. Conclusions: sexual abuse in children and adolescents with condyloma acuminatum should be investigated in spite of the existence of other transmission ways including auto- or heteroinoculation. The presentation forms at young age differ from those in adults, and thus an appropriate therapy for this is necessary for this population.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(7):377-380
DOI 10.1590/S0100-72031998000700002
Parpose: to analyze the epidemiologic factors, clinical manifestations and forms of treatment of infection with papiloma virus. Method: all cases of condyloma acuminatum in children and adolescents assisted in the period from 1990 to 1995 in the Service of Children and Adolescent Gynecology were revised. We present the following data: age, diagnosis, clinical manifestations, sites of the lesions, transmission modes and treatment. Results: the average age of the 18 studied cases, was 6 years and 11 months (ranging from 2 to 15 years). The most common clinical manifestation was the presence of warts (61.1%). The lesions were located in the vulvoperineal area in 44.4% of the patients, and perianal and vulvar lesions were observed respectively in 27.8% and 22,2% of the cases. It was not possible to confirm the occurrence of sexual abuse or of condyloma lesions in the parents in 66.7% of the cases. Probable sexual abuse (not confirmed) was reported in 2 cases. The basic therapy was chemical cauterization. Conclusions: sexual abuse in children and adolescents with condyloma acuminatum should be investigated in spite of the existence of other transmission ways including auto- or heteroinoculation. The presentation forms at young age differ from those in adults, and thus an appropriate therapy for this is necessary for this population.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(7):411-414
DOI 10.1590/S0100-72031998000700007
Clear cell adenocarcinoma of the vagina and cervix is a rare disease associated commonly with the use of diethylstilbestrol (DES) during pregnancy. The most commom complaint is irregular vaginal bleeding, which could be confused with vaginitis in children and abnormalities in the hypothalamic-pituitary axis in adolescents. We report a case of clear cell adenocarcinoma of the endocervix in a 7-year-old child who was attended at the Children and Adolescent Gynecology Sector, and we call attention to the diagnosis of genital cancer which, in spite of its rarity at this age, must be considered in children with genital bleeding.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1998;20(7):411-414
DOI 10.1590/S0100-72031998000700007
Clear cell adenocarcinoma of the vagina and cervix is a rare disease associated commonly with the use of diethylstilbestrol (DES) during pregnancy. The most commom complaint is irregular vaginal bleeding, which could be confused with vaginitis in children and abnormalities in the hypothalamic-pituitary axis in adolescents. We report a case of clear cell adenocarcinoma of the endocervix in a 7-year-old child who was attended at the Children and Adolescent Gynecology Sector, and we call attention to the diagnosis of genital cancer which, in spite of its rarity at this age, must be considered in children with genital bleeding.
