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Gyn: CISFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Tue Sep 25 12:24:30 2007
Two cases: 23 YO P0 with HGSIL pap, office biopsy CIN II or III (can't remember). OR LEEP: CIN III, no invasion, positive endocervical margin. A nice specimen was obtained with a 20 X 15 mm loop. Would you: 1. Re-LEEP after 6 weeks? 2. Reassess in the future (3 months)? If so, how, i.e. a. Pap and colpo b. Pap and colpo and ECC regardless of findings c. Other 33 YO P2002, S/P TL, with HGSIL pap, office biopsy CIN III/can't rule out invasion. OR LEEP--large transition zone, two passes, one central and one superior with 20 X 15 loop to encompass entire non-staining zone. Pathology: postive endocervical and ectocervical margins, no invasion, glandular involvement. What would you do here? 1. Re-LEEP after 6 weeks 2. Reassess in the future (3 months)? If so, how, i.e. a. Pap and colpo b. Pap and colpo and ECC regardless of findings c. Other 3. TVH? Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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