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Re: Gyn: Recurrent dysplasia--another case From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Nov 2 17:07:37 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "FRI Humor: Laughter is the best medicine" Previous message: art fougner, md: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly" FWIW, I would not have done the original LEEP, even with a CIN II biopsy. That said, she had CIN III. I plan to do a colpo, pap and HR HPV in 6 months. Garry At Thu, 2 Nov 2006, ainsron wrote: > >Agree. That is also what was recommended by the experts on a recent ACOG >update I listened to. They were very concerned about the risks of repeated >LEEPs in younger patients. They would not recommend a repeat LEEP unless >HGSIL, and then would probably opt for cold knife conization to allow more >controlled excision of the lesion. > >Ronald E. Ainsworth, MD, FACOG > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of >rmodugno@aol.com >Sent: Wednesday, November 01, 2006 2:50 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Gyn: Recurrent dysplasia--another case > >-----Original Message----- >From: garrys@mindspring.com >To: ob-gyn-l@dns.obgyn.net >Sent: Wed, 1 Nov 2006 5:14 PM >Subject: Gyn: Recurrent dysplasia--another case > > 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 > > ****************** > >Repeat pap and/or colpo in 6 months. No more 'whittling ' away at her >cervix for now. > >Robert Modugno MD MBA FACOG >Smoky Mountain OB/Gyn Associates >64 Eastgate Drive, Sylva, NC 28779 >828-586-7802 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Joanne Bulley, MD: "FRI Humor: Laughter is the best medicine" Previous message: art fougner, md: "Re: early onset severe IUGR and ambiguous genitalia without any other anomaly"

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