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Re: Gyn: AGUS pap From: Rafael Haciski (haciski@earthlink.net) Fri Mar 31 13:34:45 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DMECNM@aol.com: "Re: Fri: Referral question" Previous message: Garry E. Siegel, M.D.: "Gyn: AGUS pap" In reply to: Garry E. Siegel, M.D.: "Gyn: AGUS pap" Next in thread: Efrain Ramirez: "Re: Gyn: AGUS pap" I would do as your propose, but would perform an hysteroscopy as well - while it is doubtful that you will see any lesions, nevertheless, if there is a lesion, a random EBx will most likely miss the lesion, thus prove useless. Of equal interest is the endocervical canal, and hysteroscopy may better provide info, as well as a vigorous fractional D&C. In other words, normal EBx does not prove anything. Also, my tolerance for hysterectomy is very low in such patients - I would probably lean towards one: either laparoscopic, LAVH, or TVH. -- Rafael Haciski MD FACOG Palmetto, FL On Mar 31, 2006, at 2:13 PM, Garry E. Siegel, M.D. wrote: > 38 YO P2002 with a long history of atypia paps, dating back to > college. > Cryo done years ago for unknown reasons (no records) but likely > dysplasia. > > In the fall of 2005, due to LGSIL pap, inadequate colposcopy, and > patient worry, I did an OR LEEP--CIN I, clear margins. > > The first follow-up pap is AGUS and she is high-risk HPV positive. > > She has had two sections and is not the easiest to examine/colpo. > > I plan to repeat colpo, pap, ECC and Endo biopsy if tolerated. > > Does anyone have other suggestions/advice? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: DMECNM@aol.com: "Re: Fri: Referral question" Previous message: Garry E. Siegel, M.D.: "Gyn: AGUS pap" In reply to: Garry E. Siegel, M.D.: "Gyn: AGUS pap" Next in thread: Efrain Ramirez: "Re: Gyn: AGUS pap"

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