OB-GYN-L Messages for January, 2004: Re: sidual dysplasia

Re: sidual dysplasia
From: Steve & Eryl Raymond (eryl@intekom.co.za)
Wed Jan 7 15:07:12 2004

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<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"> The crux of the argument revolves around the cost/benefit ratio of the frequency of cervical smears. If the cost is not an issue then why stop at yearly? Why not do them every six months? In countries where there is a cost to the state, or a third party with an eye on costs, there is a very real argument in questioning the number of smears needing to be done per case of Carcinoma of cervix prevented. Just a reminder, Joanne, HGSIL is not malignant and is treatable. What is more, without treatment has been known to regress spontaneously. Perhaps those articles questioning the place of the liquid prep paps and their sensitivity were on to something after all. "Shit happens", as they say, but the chance of someone falling outside the normal distribution curve is, by definition 5%.
Steve.

Efrain Ramirez wrote:

You do no harm doing it yearly - "recommendations" are just that - always remember ACOG's recommendations about VBAC's years ago -

At Tue, 6 Jan 2004, Joanne Bulley, MD wrote: On a related vein: I just got a Pap back on someone today - 29yo - normal liquid prep paps past 3 years - and HGSIL now! I have a REAL hard time with the new recommendations of the ACS and ACOG - to do paps q3 years after three normal paps. Joanne

-- Joanne Bulley, MD

-- S.H. Raymond FRCOG Principal Specialist Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni SOUTH AFRICA 3880 Phone: (+27)-35-9028560 Fax: (+27)-35-7922596 Everyone thinks of changing the world, but no one thinks of changing himself. Leo Tolstoy (1828-1910)

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