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Re: AGUS From: Joanne Bulley, MD (islesannie@yahoo.com) Thu Apr 28 19:38:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: AGUS" Previous message: ainsron: "Re: AGUS" Next in thread: Garry E. Siegel, M.D.: "Re: AGUS" Reply: Garry E. Siegel, M.D.: "Re: AGUS" My thoughts run the same way as you and Efrain Joanne At Thu, 28 Apr 2005, ainsron wrote: > >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 > -- Joanne Bulley, MD Keene, NH, USA Next message: R. Daniel Braun: "Re: AGUS" Previous message: ainsron: "Re: AGUS" Next in thread: Garry E. Siegel, M.D.: "Re: AGUS" Reply: Garry E. Siegel, M.D.: "Re: AGUS"

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