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Re: Gyn: Positive margins on a LEEP From: Douglas Krell (dkrell@msn.com) Tue Oct 30 06:27:49 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Karen Lee: "Re: Gyn: When to stop the pill" Previous message: Larry Glazerman: "Re: HPV vaccine and resistance" In reply to: Garry E. Siegel, M.D.: "Gyn: Positive margins on a LEEP" Next in thread: R. Daniel Braun: "Re: Gyn: Positive margins on a LEEP" Reply: R. Daniel Braun: "Re: Gyn: Positive margins on a LEEP" Garry, I agree hysterectomy would be fine and likely to be best for her given the multiple complaints as well as the cervical disease. I think LAVH, TLH, TAH would give you a good chance too evaluate everything. Is her insurance company balking at this? Douglas Krell MD >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Gyn: Positive margins on a LEEP >Date: Mon, 29 Oct 2007 20:16:57 -0500 > >33 YO P2002 S/P TL, originally came in for dysmenorrhea and dyspareunia. > >Her intial exam was normal, but her pap was HGSIL. Directed biopsies at >satisfactory colposcopy showed moderate dysplasia. > >LEEP in the OR--CIS with positive endo and ectocervical margins, and >extensive glandular involvement. > >What's next? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: Karen Lee: "Re: Gyn: When to stop the pill" Previous message: Larry Glazerman: "Re: HPV vaccine and resistance" In reply to: Garry E. Siegel, M.D.: "Gyn: Positive margins on a LEEP" Next in thread: R. Daniel Braun: "Re: Gyn: Positive margins on a LEEP" Reply: R. Daniel Braun: "Re: Gyn: Positive margins on a LEEP"

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