QuestionDear Doctor Hammoudi,
I have had four separate operations to remove pre-cancerous cells from my vulva, including from my clitoral hood.
My first operation was nine years ago, the second one three years ago, and the third seven months ago, with the last one being just last month.
I have the HPV virus, which I contracted some 20 years ago.
I have a number of questions which I would very much like to ask you:
1. I have heard there is a vaccine in development, and I wondered if you have any up to date knowledge on the development and use of this vaccine? It may be licensed for use outwith the U.K. where I live), and I would be very interested in any information you may have.
2. I have serious concerns that these pre-cancerous cells could become malignant, and I worry that some of these growths may have not been spotted by my doctor soon enough. How long does it take for pre-cancerous growths to become cancerous? Is it inevitable that they would become cancerous?
3. I am very worried that, at 35 vyears old, I now seem to have an accelerated growth of the pre-cancerous cells, and that I require these operations to cut them out more frequently. Is this acceleration of growths a common occurrance?
4. Do you know of any research on an international basis which I could access, or any country which could help my condition's prognosis?
I have become very depressed by this constant fear and worry, and I am willing to go overseas in oredr to receive any better treatment.
5. I am worried at how much the surgeons can remove from my vagina. So far all the growths have been on surface areas, but I worry whether the cells can spread into deeper tissue.
I really appreciate that you spend some of your busy life responding to these type of questions - questions which people like me find impossible to ask our own doctors face to face.
Please consider whether you can help me find out these answers, as I am feeling very desperate at this time.
Thank you very much in advance,
Best regards,
Jackie.
Answerthe vaccine is in experimentation or trials and it will take few more years before getting it, although at the your stage it does not make any difference as to be vaccinated or not since you have the complication of the virus already.
an insitu cancer or precancer are already dysplastic or cancerous cells , the prediction and the treatment is the removal and close follow up, nothing else, easier in you parts because in direct visu than if it was deeper or in the vercix.
the growth is not really well determined as the speed of them, it can go very slow or very fast and in deed you are a young women that make the evolution of these tumors going a bit faster than a normal genera;l older population.
I think that depending on the type of cancer you need to have small radiotherapy [see with your doc these possibilities] but my concern with it is you not having anymore children
you need to ask your doctor do not be afraid they are there for that , since they know the cases better than any other so they have better specific answers.
keep me update
thanks
dan
