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Re: Dysplasia question From: Larry Glazerman (l.glazerman@rcn.com) Sat Nov 26 20:32:15 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: igold@cox.net: "homebirth conversation" Previous message: R. Daniel Braun: "Re: Amnioinfusion" Maybe in reply to: Lynn D. Montgomery, M.D.: "Dysplasia question" Next in thread: R. Daniel Braun: "Re: Dysplasia question" Reply: R. Daniel Braun: "Re: Dysplasia question" Reply: Lynn D. Montgomery, M.D.: "Re: Dysplasia question" I don't know many MFMs who have done LEEPs. They should stick to MFM, IMHO. This message was sent from my Treo 650 handheld. -----Original Message----- From: igold@cox.net Subj: Re: Dysplasia question Date: Sat Nov 26, 2005 9:43 pm Size: 1K To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Wow Lynn, I'm amazed you do LEEPs. I was talking to one of our MFM guys the other day about a colpo......he told me he hadn't done one in over 20 years.....Ingrid Gold, CNM, Phoenix > > From: "Lynn D. Montgomery, M.D." <apgar10@montanadsl.net> > Date: 2005/11/26 Sat PM 12:03:39 EST > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > Subject: Dysplasia question > > I was always taught that when you did a cone or LEEP with margins focally > involved on the specimen removed, simply follow the cervix because the > inflammatory reaction associated with healing will deal with the focal > abnormalities and diligent follow will detect those that don't. > > Recently did a LEEP on a patient with CIN III and the report came back with > severe dysplasia/CIS and "focal involvement of the endocervical margin". > > My question is, should I go back and do a "hat" extension of the previous > LEEP to get more of the endocervix or simply follow-up with a pap down the > road. > Lynn > > Lynn D. Montgomery, M.D. > Maternal-Fetal Medicine, OB/GYN > Rocky Mountain Women's Health > 2835 Fort Missoula Rd., Suite 304 > Missoula, Montana, 59804 > 406-549-0978 > fax 406-549-0987 > e-mail: apgar10@montanadsl.net > Next message: igold@cox.net: "homebirth conversation" Previous message: R. Daniel Braun: "Re: Amnioinfusion" Maybe in reply to: Lynn D. Montgomery, M.D.: "Dysplasia question" Next in thread: R. Daniel Braun: "Re: Dysplasia question" Reply: R. Daniel Braun: "Re: Dysplasia question" Reply: Lynn D. Montgomery, M.D.: "Re: Dysplasia question"

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