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Re: 2 cases of AGUSFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Jun 28 10:18:24 2004
I would lean toward further evaluation of endocervical canal in both (i.e. cone or LEEP) With AGUS, there is a 10% incidence of Adenocarcinoma-in-situ of the endocervical canal. 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 Lynn D. Montgomery, M.D. Sent: Monday, June 28, 2004 9:47 AM To: Multiple recipients of list OB-GYN-L Subject: 2 cases of AGUS Listers, I have two cases of AGUS that have me somewhat stumped: First case 41 y.o. with AGUS on pap smear (thin prep). Colposcopy unremarkable and satisfactory, including vaginal walls. ECC and EMB negative. Examination normal. Where to now - do I get more aggressive with D&C, ovaries... Second case 35 y.o. presents for routine exam. Pap returns AGUS. Colposcopy reveals very small lesions in the posterior vaginal mucosa, under the cervix. Biopsy returns endometriosis. Patient totally asymptomatic. How do I treat or do I? Lynn Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 303 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net
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