CO2 laser for the treatment of vulvar carcinoma in situ.

A new conservative method for treating carcinoma in situ of the vulva is presented. The carbon dioxide laser offers the advantage of a microsurgical technique combined with the benefits of sharp local excision. As one third of the 35 patients treated in this series are under 30 years of age, preservation of the anatomic and functional integrity of the vulva is of paramount importance. Laser therapy has proved to be precise and has resulted in rapid healing without scar formation. The laser regimen conveniently unifies the therapeutic program directed against multicentric squamous neoplasia of the lower genital canal.