-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: vaginal dysplasia From: ainsron (ainsron@sbcglobal.net) Tue Nov 27 10:36:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: vaginal dysplasia" Previous message: Richard Chudacoff: "vaginal dysplasia" In reply to: Richard Chudacoff: "vaginal dysplasia" I don't have the article, but it should summarize the recommendations for treatment. On the other hand, if it's only LGSIL, why treat at all? Most studies show a fairly high clearance and low progression over time. Repeat pap and colpo in six months would be reasonable. Am J Obstet Gynecol 1995 Apr;172(4 Pt 2):1354-9 Human papillomavirus infection and therapy with interferon. Department of Obstetrics and Gynecology, University of Louisville School of Medicine, KY 40202, USA. The studies summarized have shown that therapy of condylomata acuminata with interferon is effective. The route of administration does not appear to influence the results; the intralesional, intramuscular, and subcutaneous routes were effective. Additional research is required to determine whether the natural interferon or recombinant product is superior. The appropriate administration schedule may also not have been attained. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff Sent: Tuesday, November 27, 2007 9:06 AM To: Multiple recipients of list OB-GYN-L Subject: vaginal dysplasia I have a patient with a low-grade squamous intraepithelial lesion, and high risk HPV. Colposcopy only noted a semicircular rang of koilocytic changes in the posterior fornix. I'm sure there is a medical management protocol using interferon, but I cannot find a reference. It seems silly to try to remove this surgically. Can anyone help me? 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 www.lasvegasgyncenter.com <http://www.lasvegasgyncenter.com/> www.exablateoflasvegas.com <http://www.exablateoflasvegas.com/> The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received the e-mail in error, please immediately notify the sender by return e-mail or phone and delete this e-mail. Thank you. Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: vaginal dysplasia" Previous message: Richard Chudacoff: "vaginal dysplasia" In reply to: Richard Chudacoff: "vaginal dysplasia"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:49:03 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.