Re: Gyn: Adenocarcinoma-in-situ of the cervix

From: Doc Peró (pero@fibertel.com.ar)
Tue Apr 24 20:56:07 2007


I`d trust more on endo cytology, smear taken with cytobrush, spec sent to a very reliable lab, than an ECC that may skip a small lesion.

Literature seemed to me, support cytol. sensibility against ECC.

Height, width of the cone?. Jorge.

_____

De: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] En nombre de R. Daniel Braun Enviado el: Martes, 24 de Abril de 2007 03:41 p.m. Para: Multiple recipients of list OB-GYN-L Asunto: Re: Gyn: Adenocarcinoma-in-situ of the cervix

ECC for sure, regardless of Pap results.

Dan

On 4/24/07, Garry E. Siegel, M.D. <HYPERLINK "mailto:garrys@mindspring.com"garrys@mindspring.com> wrote:

35 YO P0 S/P LEEP, H-scope (ECC, endometrial curettage) for AIS pap in 1999. Pathology was AIS cervix with involved margins, and then had CKC by gyn onc--no residual dysplasia.

She has been without disease for years, with twice yearly paps.

She is on DepoProvera and mostly amenorrheic, but has had copious clear vaginal d/c lately. Recent exam ?BV, treated and today has a normal exam but has a good amount of clear mucus in the vagina which really looks cervical, and I did her pap.

I kind of wondering if an ECC, or colpo might be smart here, or even a H-scope, pending the pap. I'm stumped and don't want to miss any recurrence, though this would seem an odd presentation.

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates

--
No virus found in this incoming message.
Checked by AVG Free Edition.
Version: 7.5.446 / Virus Database: 269.5.6/770 - Release Date: 20/04/2007
06:43 p.m.

--
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.446 / Virus Database: 269.5.6/770 - Release Date: 20/04/2007
06:43 p.m.




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:56:20 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.