Re: Gyn: Positive margins on a LEEP

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Oct 30 18:32:41 2007


ABSOLUTELY!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Dan

On 10/30/07, Richard Chudacoff <rchudacoff@mylinuxisp.com> wrote: >
> I am so old..... but the TVH would give the best margins do ya think?
>
> Richard Chudacoff, MD, FACOG
> Las Vegas International Center for Advanced Gynecologic Care
> (Specializing in minimally and non-invasive surgery)
> 2481 Professional Court
> Las Vegas, NV 89128
> TEL: 702-485-8893
> FAX: 702-974-0945
>
> http://www.lasvegasgyncenter.com
> http://www.exablateoflasvegas.com
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John
> Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
> Sent: Tuesday, October 30, 2007 11:14 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Gyn: Positive margins on a LEEP
>
> At Tue, 30 Oct 2007, Richard Chudacoff wrote:
> >
> >Okay, but if invasion cannot be ruled out, then I would do a cold knife
> cone
> >rather than a LEEP. I would not want to burn the margins
> >
> >--
> >Richard Chudacoff, MD, FACOG
> >
> Last cold knife I did for early invasive bleed like stink, so I Asked
> Gyn onc if large leep would have been just as good and he said sure,
> basically if its invasive Greater than 8mm or 3-5mm depth they need
> modified radical or radical tracheolet so it does not change much, as
> for the pathologists they will bitch and waffle no matter what you give
> them.
>
> --
> Take care, John
>

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

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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