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Valentín Gómez 1045
Montevideo - Uruguay

Gynecological cancer cases

Case 1: Vulva-vaginal Carcinoma plus Solid Basal-cellular Carcinoma


Name: Terezinha de Oliveira
Age: 59 years old
Country: Brazil
Reason of Consultation:
Ulcerated skin lesions, in nose, coccyx, right hand and right maxillary.
Personal antecedents:
Without personal antecedents to remark.
Family Antecedents:
Without personal antecedents of relevance.
Present disease antecedents:
She initiates radiotherapy on 03/03/2001, after a rescue surgery.
04/02/2001: With no signs of disease, only slight actinic sequels.
Disease evolution:
06/20/2001: She consults us because of ulcerated skin lesions, in nose, coccyx, right hand and right maxillary.
Inform of hand sample: solid Basal-Cellular Carcinoma with deep margin compromised. It is about a patient with skin Type 1 (Fitzpatrick Classification) with chronic solar exposure which showed solar elastosis, actinic melanosis, solar leuko-dermias, actinic queratosis, some basal-cellular carcinomas. The basic treatment during this period was: solar protection, creams based in alfa hidroxi-acids, crio-cauterization of the queratosis with liquid nitrogen spray, surgery extirpation of the basal-cellular or subjective lesions.
In reference to the radiant treatment performed due to her vulva-vaginal carcinoma, it was performed in the first place, a rescue surgery treatment and afterwards radiant treatment practiced with photons of particle lineal accelerator in 10 MB for total pelvis, applying the dosage of 5040 cGy in 180 cGy fractions. The brachi-therapy of low range dosage was applied with the use of vaginal cylinders of 2,5 cm. Of diameter. 176 - 179 – mg of 137 Cs charges, with a dosage exposure of 4793 cGy in the vagina surface in the upper third. Treatment administered between 02/08/2001 and 03/03/2001.
Rectal and cisto-rectal mucous reaction which were medicated.
On 06/26/2001: She begins the treatment with GREEN SAP drops and gel. Dosage: 30 drops 4 times per day. Gel in the compromised areas twice a day.
On 11/25/2001: The dermal lesions we have already mentioned, disappear.
At the present moment in clinic cure, on release with a maintenance dosage of the medicament.
Conclusions:
It is about a 59 years old patient proceeding from Brazil, suffering from a Vulva-vaginal Carcinoma treated with chemotherapy until the 11/23/2000. Afterwards she has a rescue surgery performed due to recidivism and radiotherapy with posterior brachi-therapy.
On 04/02/2001 there are already no signs of the disease.
On 06/20/2001 she consults us due to ulcerated skin lesions, in nose, coccyx, right hand and right maxillary which correspond to solid basal-cellular carcinoma with compromised deep margin.
She begins the treatment in June, 2001 with GREEN SAP drops and gel, on November 25th., 2001 having the lesions disappeared.
This demonstrates us the GREEN SAP highly beneficial action on skin carcinomas would they be of high or low malignancy grade.
Although her vulva-vaginal carcinoma was not treated with GREEN SAP, the medicament also plays a preponderant role in the cure of this neoplasies.
The skin neoplasies were cured with GREEN SAP as it was demonstrated and the patient herself let us know so. The medicament is very useful in skin cancers, from the more indolent to the more grave ones which can cause death. But GREEN SAP once more acted through multiple mechanisms, achieving the cure of this patient’s skin disease, as we have proved with many other patients.
The vulva-vaginal cancer also could have been treated with GREEN SAP, which has an excellent effect at this level, acting by different mechanisms that are explained in “Conclusions on GREEN SAP action on vulva-vaginal cancer” (page 197), as well as we have proved in numerous cases with this disease.