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Re: AGUS From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Apr 28 21:08:32 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: AGUS" Previous message: R. Daniel Braun: "Re: AGUS" In reply to: Joanne Bulley, MD: "Re: AGUS" Next in thread: Joanne Bulley, MD: "Re: AGUS" Reply: Joanne Bulley, MD: "Re: AGUS" Reply: Rafael Haciski: "Re: AGUS" Hey, check out the ASCCP guidelines. http://www.asccp.org/ Before you do a TVH and find an undiagnosed cancer (unlikely, but. . .), if you cannot access her cervix due to stenosis, why not do an OR visit: 1. Cold knife cone--unless you feel the cervix is "cleared" and it doesn't need evaulation. 2. ECC 3. Hysteroscopy/endometrial curettage Unless I'm missing something, you have an unexplained AGUS smear (CIN doesn't fully cover that) and you've not been able to evaluate the endometrium or the endocervix. Garry At Thu, 28 Apr 2005, Joanne Bulley, MD wrote: > >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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Joanne Bulley, MD: "Re: AGUS" Previous message: R. Daniel Braun: "Re: AGUS" In reply to: Joanne Bulley, MD: "Re: AGUS" Next in thread: Joanne Bulley, MD: "Re: AGUS" Reply: Joanne Bulley, MD: "Re: AGUS" Reply: Rafael Haciski: "Re: AGUS"

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