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Re: ASCUS testing From: Joanne Bulley, MD (islesannie@yahoo.com) Sat Apr 9 20:04:09 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Assessing pelvis" Previous message: Joanne Bulley, MD: "VH - sit or stand" In reply to: Henry Gregor: "Re: ASCUS testing was Gyn: Microinvasive Ca of Cervix" If this patient had seen me in 98 .. she would have gotten a 6 month PAP and fi still ASCUS then she'd have gotten a colpo. As it is -- she will get the consult with the gyn onc ... and then we will figure what sort of hyst is best. Assuming Dartmouth's gyn path person agrees with our pathologist about the degree of invasion ... Our path planned on sending it up to them even before talking with me. We get so few of these it is just a good idea to have another Path dept look at it as well. I will also go back to our Path dept and see if we have the Paps for the missing years as well. Joanne At Sat, 9 Apr 2005, Henry Gregor wrote: > >Since ASCUS seems somewhat in the eye of the beholder (of the cytology slide),. and since some studies over the years have showed advanced lesions within the ASCUS/LGSIL categories, as well as generally repetitive reports of dyplasias among patients with repetitive ASCUS and - guidance requested here - don't some dysplasias occur absent HPV change, wouldn't colpo and bx be a reasonably prudent and reassuring process for pt and physician? Risk benefit ratio seems reasonable. > >Hank > >Elrod Darryl G MAJ 48 MDOS/SGOBO <Darryl.elrod@LAKENHEATH.AF.MIL> wrote: >Just a quick aside on ASCUS and reflex HPV testing. We have had a few >that were ASCUS, negative HPV last year and are ASCUS again this year. >The lab won't do HPV again as their protocol is no more frequent than >every two years. Am I right in thinking that the new ASCUS should be a >reason for colpo and that the lab is right that HPV two years in a row >isn't necessary? > >Glen > -- Joanne Bulley, MD Keene, NH, USA Next message: Garry E. Siegel, M.D.: "Re: Assessing pelvis" Previous message: Joanne Bulley, MD: "VH - sit or stand" In reply to: Henry Gregor: "Re: ASCUS testing was Gyn: Microinvasive Ca of Cervix"

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