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Re: Persistent ASC/HR HPVFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Aug 21 09:14:19 2007
At Tue, 21 Aug 2007, Richard D. Kaplan wrote: > > 46 y.o. nulligravida. LGSIL 2000, Repeat Pap WNL, LGSIL/+HR HPV 2002 - Colpo-no dysplasia Id'd on exocervix, LEEP done at that visit - no dysplasia found in LEEP specimen. Rpt. Pap in 6 months-still has LGSIL and +HR HPV. Repeat LEEP 2003 - LGSIL found, endocervical button negative (free margins). Pap wnl 2005, Recurrant ASC/+HPV on Paps 2006 and 2007. >unless she develops HGSIL . Your thoughts? > >Richard Kaplan >Greensboro, NC Repeat PaP's Q 6months, some would argue leep was not necessary, if she had given it due consideration and wanted a hyst I would have no problem doing it. Just saw a 46 y.o. with stage II yesterday(3cm nodule in upper third of vagina) supposedly had normal pap last novemeber.
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Take care, John
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