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Re: positve hpv dna From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Jul 29 09:35:46 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: positve hpv dna" Previous message: Larry Glazerman: "Re: positve hpv dna" Next in thread: Larry Glazerman: "Re: positve hpv dna" Reply: Larry Glazerman: "Re: positve hpv dna" ASCCP has guidelines, too. Occasionally, usually due to a clerical error (the lab ran the wrong test or we requested the wrong thing), we'll get a NORMAL pap who is HPV positive, and have to do what Larry says, if my memory is correct. http://www.asccp.org/ Garry At Fri, 29 Jul 2005, Larry Glazerman wrote: > >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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Larry Glazerman: "Re: positve hpv dna" Previous message: Larry Glazerman: "Re: positve hpv dna" Next in thread: Larry Glazerman: "Re: positve hpv dna" Reply: Larry Glazerman: "Re: positve hpv dna"

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