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Re: positve hpv dna From: Larry Glazerman (l.glazerman@rcn.com) Fri Jul 29 08:00:45 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: positve hpv dna" Previous message: art fougner, md: "Re: Choroid plexus cysts" Maybe in reply to: Anita42@aol.com: "positve hpv dna" We just had a journal club on this issue. The official ACOG/Preventative Services Task Force recommendation is in the patient over 30 who you do Pap + HPV, with a positive HPV, negative PAP, repeat both studies in 6-12 months. At that time,: Negative pap, negative HPV - routine followup Negative pap, Positive HPV - colposcopy ASCUS pap, Negative HPV - Routine followup Pap >ASCUS, any HPV - colposcopy. Hope this helps -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC larry.glazerman@lvh.com _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Atkinson, Samuel M Sent: Thursday, July 28, 2005 1:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: positve hpv dna For the best answer to your question you must read the article by Kenneth Noller in the ugust 2005 issue of the Green Journal. You will find his comment that if you are not screening for high risk HPV only you shoould do so even if you must change labs .. A low risk means nothing. Secondly, if it is 16 or 18 she needs colposcopy. If it is negative for high risk HPV she needs a pap in one year. Other recommendations and sensible algorithms are also in the article..Including paps only 1 2-3 yrs in women over age 30 with a neg PAP hx. I suspect her previous freeze was for low grade . Sam Atkinson (MD) _____ From: ob-gyn-l@obgyn.net on behalf of Anita42@aol.com Sent: Wed 7/27/2005 5:31 PM To: Multiple recipients of list OB-GYN-L Subject: positve hpv dna We have a patient with a neg pap and a positve hpv result. what would you do and would you treat?... thanks.........Anita GoldmanCNM,CFNP Next message: Garry E. Siegel, M.D.: "Re: positve hpv dna" Previous message: art fougner, md: "Re: Choroid plexus cysts" Maybe in reply to: Anita42@aol.com: "positve hpv dna"

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