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Re: AGUSFrom: ainsron (ainsron@sbcglobal.net)Thu Apr 28 19:09:18 2005
Cone or LEEP. Consider TVH. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Thursday, April 28, 2005 2:36 PM To: Multiple recipients of list OB-GYN-L Subject: AGUS 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
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