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Re: AGUSFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue May 3 07:11:42 2005
At Mon, 2 May 2005, Joanne Bulley, MD wrote: > >Hi > >Her LEEP of March 04 was CIN 1 with severe cervicitis ... but then the >Pap at 4 months was ASCUS (neg HR HPV) and then the Pap of 3/05 was AGUS >again. So the issue of R/O AdenoCIS has not been clarified. > >Particulary since I have been unable to get inot the upper endocervical >canal. > >So I plan on seeing if I can get a probe up the canal ... do a cold >knife cone around that ... then try to get into the endocervix and >endometrium and see what is going on (with visualization and tissue for >the path folks). > >Then if benign ... or noninvasive disease... go do the straight vag >hyst. > >Joanne > I have had adenoca insitu or invasive presenting as persistant sevre cervicitis an more than one occasion, also true of squamous lesions. When I am fairly confident the lesion on colpscopy is CIN III or andeno ca insitu I do large leeps or cold knife cones on cases where colpo biopsies showed severe cervicitis, about 75 % of the time my colpo impressions was right.
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Take care, John
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