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Re: AGUSFrom: Joanne Bulley, MD (islesannie@yahoo.com)Thu Apr 28 22:19:33 2005
Garry You are right and - yes - before hyst - I would do a cold knife cone, ECC of upper endocervix and Endometrial assessment. With this case it is noteworthy that she had the prior LEEP in March 04 with negative ECC. (I always do an ECC above my LEEP or cold knife cone ... but the results from the ECC with the LEEP are at the office and I am home.) What do you make of her previous VIN 3 (1998) of the posterior introitus ... prior cryo (?1993) for CIN ... the CIN on this cone and the "negative" for high Risk HPV? Obviously - she carries a different strain of HPV that is high risk ... or does she have an immune system problem (and should it be worked up) that allows genital tract carcinomas to get started? Joanne
At Thu, 28 Apr 2005, Garry E. Siegel, M.D. wrote:
>
-- Joanne Bulley, MD Keene, NH, USA
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