Re: AGUS

From: Efrain Ramirez (eramirezt@coqui.net)
Thu Apr 28 19:05:27 2005


Vag Hyst?

>At Thu, 28 Apr 2005, Joanne Bulley, MD wrote:
>
>48 yo G0 s/p Cryosurgery of cervix prior to 1993. (presume CIN)
>VIN 3 (carcinoma in situ) of vulva at posterior introitus excised 1998.
>Vulvar coploscopies normal since then.
>
>Pap 3/04 AGUS (possible adenocarcinoma in situ)
>LEEP (cervical stenosis from cryo precluded any office evaluation)
>path: CIN 1 - mild dysplasia with severe cervicitis, comparison with Pap
>confirms the same cellular characterisics were present.
>
>Pap 10/04 ASCUS negative for high risk HPV subtypes.
>
>Pap 3/05 AGUS.
>
>Colposcopy - unable to see SCJ. Endocervical curette would not pass
>through stenotic cervix. Endocervical specimen taken with endocervical
>brush.
>
>Pathology pending.
>
>Of course the next step will depend somewhat on the patology, but, what
>do you think you would do next?
>
>Joanne
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>

--
 I think I will do nothing for a long time but listen,
 And accrue what I hear into myself...and let sounds
 contribute toward me.

~walt whitman~





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