Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Tue Apr 27 11:32:29 2004


Trying to convince myself that if there is no evidence of high risk HPV then I can screen every 5 years.

--
Richard Chudacoff, MD

I will never be an old man. To me, old age is always 15 years older than I am.

Francis Bacon

Imagination was given to man to compensate him for what he is not; a sense of humor to console him for what he is. Francis Bacon -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron Sent: Tuesday, April 27, 2004 11:28 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

Personally, I only order HPV (high risk only) when I get an ASCUS pap, that way I don't have to worry about this type of conundrum. I would either repeat the pap in six months or colposcope her. Any history of previous abnormal pap? Recent change in sexual partners?

Ronald E. Ainsworth

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Tuesday, April 27, 2004 8:49 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

What about this wrinkle that I just received. S/P total abdominal hysterectomy, normal pap, high risk HPV. What would you do?

( -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Monday, April 26, 2004 8:27 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

In a message dated 4/26/2004 8:56:10 PM Eastern Daylight Time, rchudacoff@mylinuxisp.com writes:

> Not sure what the 'book' says, but high risk is high risk > and I would screen > her until the negative pap matches the negative HPV results > > Richard Chudacoff, MD

I would agree with Rich - there is an article in the Green Journal by Goldie - Apil's I think that addresses different models but I'm not sure whether it addresses your question.

Robert Modugno MD MBA FACOG marietta, GA http://www.novaobgyn.yourmd.com





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