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