Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Apr 28 16:38:40 2004
Dan:
ThinPrep isn't really better, but Ron correctly points out a lot of
advantages. Another one is that if the pap is ASCUS, it can be tested
for HPV high risk DNA automatically (called reflex testing) and this is
acceptable triage of ASCUS paps.
In this case, it was an inadvertently performed test, and thanks for the
reference.
Garry
At Wed, 28 Apr 2004, Braun, R. Daniel wrote:
>
>We use the EC brush and the wooden spatula for our standard Pap smears.
>Dan
>
>"Sound is like water. If you drill one hole in the wall the sound will
>leak right through."
>
>- JAY BRAUN, a band member by love, a soundproofer by necessity.
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of ainsron
> Sent: Wednesday, April 28, 2004 8:13 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: RE: Cervical Cancer Screening with ThinPrep and High
>Risk HPV DNA
>
> That may be the case, but it has some other advantages: You're
>not dependent on your assistant spraying the slide immediately; You
>don't have to worry about the missing or empty bottle of fixative in the
>exam room; You don't have to worry about breaking slides; You can do GC
>and Chlamydia on the same specimen; You don't have to explain to
>patients why you're not doing "that new and better type of pap" they
>read about in their supermarket tabloid. I also think the brush and
>broom used for specimen collection gets a better sample than the wooden
>spatula and Q-tip we used to use - at least the patients complain more
>about the cramping it causes.
>
> Ronald E. Ainsworth
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of Braun, R. Daniel
> Sent: Wednesday, April 28, 2004 4:32 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Cervical Cancer Screening with ThinPrep and High Risk
>HPV DNA
>
> I asked several members of our Onc division about this. The
>consensus of opinion was: "Why are you doing the thin prep to begin
>with?". There is still no evidence that it decreases either the
>incidence of or the death rate from cervical cancer anymore than using
>the standard pap smear.
>
> Dan
>
> R. Daniel Braun, MD FACOG
>
> Professor of Clinical Obstetrics and Gynecology
>
> Department of Obstetrics and Gynecology
>
> Indiana University School of Medicine
>
> Indianapolis, Indiana
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
