Re: Gyn: Cervical Cancer Screening

From: Small, Jennifer (JSmall@planned.org)
Fri Jan 11 11:09:13 2008


Negative pap/positive HPV in over 30 population; think vaginal lesions. You definitely want to take another look and make sure mischief is not occurring in a site other than cervical. HPV is not likely to clear as quickly in this age group and it is more likely that the site is other than cervical. A good acetic acid wash or even Lugol's and Colpo exam will give you more peace of mind with this patient.

Jennifer Small, MSN,WHNP

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Larry Glazerman Sent: Thursday, January 10, 2008 1:05 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Cervical Cancer Screening

I do ThinPrep (liquid), with reflex HPV only. I haven't been convinced of the value of pap PLUS HPV, even in the over-30 population. I'm not sure in that situation what to do with the negative pap-positive HPV.

Larry R. Glazerman, MD, FACOG St. Luke's Center for Advanced Gynecologic Care 250 Cetronia Road Suite 305 Allentown PA 18104 484-223-3279 484-223-2830 FAX glazerl@slhn.org

On Jan 10, 2008, at 12:09 PM, Garry E. Siegel, M.D. wrote:

> Are many/all/none of you using liquid cytology AND HPV testing (high
> risk) as primary screening in patients 30 or more years old?
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA

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