Re: positve hpv dna
From: Larry Glazerman (l.glazerman@rcn.com)
Fri Jul 29 10:33:21 2005
Garry's right - I think the ASCCP guidelines are the same.
--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
larry.glazerman@lvh.com
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
Siegel, M.D.
Sent: Friday, July 29, 2005 10:37 AM
To: Multiple recipients of list OB-GYN-L
Subject: 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
