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Re: Gyn: Recurrent dysplasia--another case From: Atkinson, Samuel M (ATKINSONS@ECU.EDU) Thu Nov 2 07:35:59 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Gyn: Recurrent dysplasia--another case" Previous message: Richard Chudacoff: "Re: IMPLANON" this is a classic patient who needs HPV testing. If she is negative for high risk types, she has already had more workup than needed. Even if high risk type found, she may need paps only q 6 mos. Remember, biopies result in inflammation and repair changes thet cytologists cannot differentiate from CIN changes.. Not withstanding, if you send her tissue slides to three pathologists with anonymous duplicates, you will get 5 different readings. HPV clears in two years. If it doesn't then be more aggressive. This same aggressiveness in 18-21 years old patient is why the college says we need to back off. sAm ________________________________ From: ob-gyn-l@obgyn.net on behalf of Garry E. Siegel, M.D. -- ________________________________ Sent: Wed 11/1/2006 9:48 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Recurrent dysplasia--another case Non-smoker. Garry At Wed, 01 Nov 2006, Andrew Folley wrote: > >She sounds failry compliant. The most I would do is colposcope her every 6 >months until rolution or progression. Have her stop smoking too. andrew > >>From: garrys@mindspring.com (Garry E. Siegel, M.D.) >>Reply-To: ob-gyn-l@obgyn.net >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >>Subject: Gyn: Recurrent dysplasia--another case >>Date: Wed, 1 Nov 2006 16:14:33 -0600 >> >>24 YO P0 transferring from another practitioner with records. >> >>3/05--CIN II on biopsy, adequate colpo. >>4/05--LEEP--CIN III, negative ECC, clear margins >> >>a couple of paps were ASC-US, HR HPV +, and followed until. . . >> >>9/06--LGSIL pap >>10/06--CIN I on biopsy, negative ECC. >> >>What's next? >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: ainsron: "Re: Gyn: Recurrent dysplasia--another case" Previous message: Richard Chudacoff: "Re: IMPLANON"

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