Concurrent Nonavalent Human Papillomavirus (HPV) Vaccination and Immune Stimulation with Imiquimod to Treat Recalcitrant HPV-associated High Grade Vaginal Intra-epithelial Neoplasia
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Abstract
This is the first report describing detailed T cell responses to viral-like proteins contained in an HPV specific vaccine given in combination with Imiquimod for treatment of persistent VAIN2/3. We postulate that stimulation of the innate immune system with Imiquimod and the specific CD4 and CD8T cell responses following HPV vaccination with Gardasil9 combined to induce clinical remission in a woman with treatment-refractory disease.
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