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HR HPV in 51 yoFrom: Joanne Bulley, MD (islesannie@yahoo.com)Mon Aug 22 16:04:42 2005
What would you do .... 51yo G2P2 past history of normal paps new marriage fall 2003 Pap 7/04 ASCUS +HR-HPV Colpo 8/04 biopsies without dysplasia, cervical polyp removed (no dysplasia) Pap with Colpo 2/05: Pap normal; Biopsy CIN 1 with HPV and anothe endocervical polyp without dysplasia Pap with Colpo 8/05: Pap normal; Biopsies x2 both with CIN 1 and HPV. Colposcopically looks like squamous metaplasia throughout the transition zone with the tiny openings for the mucus of the endocervical "glands" with some very mild acetowhite. Would you 1. Pap with colpo and biospy every 6 moonths (or some other interval) 2. Cryo or laser or LEEP now? (which would you do) 3. Something else?
-- Joanne Bulley, MD Keene, NH, USA
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