fa9aa769_hild_Health_Nursing_Chapter_10__ificance_and_Suggested_Therapy
[Disorder] Adenosis [Possible Symptoms] Asymptomatic vaginal cysts with columnar rather than squamous epithelium present on vaginal walls
This condition is caused by diethylstilbestrol (DES) administration while in utero. Has the potential for becoming malignant (clear cell adenocarcinoma). If adenosis is present, an examination two or three times a year with a Pap test and Lugol's staining is necessary, and the woman should not use estrogen sources such as oral contraceptives. If adenocarcinoma occurs, local destruction of atypical cells can be achieved by excision, cautery, or cryosurgery. This condition is rarely seen today because DES is no longer prescribed during pregnancy.
Nursing Data: Maternal and Child Health Nursing Chapter 10
Significance and Suggested Therapy