Re: ASC-US Pap and negative HPV

From: Andrew Folley (agfolley@hotmail.com)
Wed Jan 31 09:36:28 2007


This patient is extremely low risk for cervical cancer with her history. In light of ascus with negative HPV onco she does not even warrant colposcopic examination. Pap yearly with HPV. andrew

>From: eramirezt@coqui.net (Efrain Ramirez)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: ASC-US Pap and negative HPV
>Date: Tue, 30 Jan 2007 19:22:29 -0600
>
>Agree but I prefer colpo then decide further management..good luck..
>
>Good question by Steve..
>
>BTW - where exactly in Tasmania Steve? - I did a Google Earth search..
>good resolution at Hobart.. :)
>
>Ef
>
>At Tue, 30 Jan 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
>wrote:
> >
> >At Tue, 30 Jan 2007, Marilyn Ringstaff wrote:
> >>
> >>This patient seems to fall off the ASCCP charts: how would you manage?
> >>
> >>39 year old para 5005, monogomous w/ one lifetime sexual partner for
> >>her,
> >>Paragard IUD in place. Pt had ASC-US Pap 2/05, wnl 09/05,
> >>now ASC-US again but (-) high-risk HPV.
> >>
> >>--
> >>Marilyn Ringstaff, CNM, JD
> >>Rome, Georgia
> >>
> >Colpo now, or repeat pap in 6 months, both acceptable.
> >
> >I would do yearly PAPs from the next 3 to 5 years even if colpo and
> >repeat pap is negative.
> >
> >--
> > Take care, John
> >
>
>--
>“ The greatest obstacle to knowledge is not ignorance,
>it is the illusion of knowledge.” Daniel J. Boorstin - Historian





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