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Re: Gyn: Cervical Cancer Screening From: Small, Jennifer (JSmall@planned.org) Fri Jan 11 11:14:31 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Rafael Haciski: "Re: GYN: FDA Says A Hormone Is A Hormone" Previous message: Small, Jennifer: "Re: Gyn: Cervical Cancer Screening" In reply to: rchudacoff@mylinuxisp.com: "Re: Gyn: Cervical Cancer Screening" Next in thread: Richard Chudacoff: "Re: Gyn: Cervical Cancer Screening" Reply: Richard Chudacoff: "Re: Gyn: Cervical Cancer Screening" LSIL in a woman over 21 assumes HR HPV. She should go to Colpo. Probably will be CIN I and no treatment indicated, but... Jennifer Small, MSN,WHNP -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of rchudacoff@mylinuxisp.com Sent: Thursday, January 10, 2008 7:36 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Cervical Cancer Screening would you act differently with LGSIL without high ris HPV vs with HR HPV. LGSIL without HR HPV does not warrant further evaluation IMHO Richard Chudacoff, MD, FACOG -sent from my Treo 650 -----Original Message----- From: islesannie@gmail.com (Joanne Bulley, MD) Subj: Re: Gyn: Cervical Cancer Screening Date: Thu Jan 10, 2008 6:43 pm Size: 1K To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Under 30 - only check HPV -IF- it is ASCUS - otherwise you don't want to know whether it is there or not - it should not change any management because of 1. the hif=gh prevalence rate and 2. the fact that the great majoprity of those will clear it You only need to know if the cytology is normal or abnormal. Joanne At Thu, 10 Jan 2008, Richard Chudacoff wrote: > >So you do not check HPV in anyone under 30, or am I misreading this? > >-- >Richard Chudacoff, MD, FACOG > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. >Siegel, M.D. >Sent: Thursday, January 10, 2008 3:14 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Gyn: Cervical Cancer Screening > >Dear all: > >If you are 30 or more, you can do both, and if both are negative, the >patient is good for 3 years without screening. > >It is inappropriate under 30 due to the high prevalence of HPV in that >age group. > >Our "routine" paps include reflex testing for high risk HPV on all >patient, UNLESS we order both cytology and HPV in the 30+ people as >primary screening. > >ASCCP has guidelines, as does ACOG, for this. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA --- message truncated --- -- ------ This e-mail is for the sole use of the intended recipient(s) and contains information belonging to Planned Parenthood of San Diego and Riverside Counties, which is confidential and/or legally privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or taking of any action in reliance on the contents of this e-mail information is strictly prohibited. If you have received this e-mail in error, please immediately notify the sender by reply e-mail and destroy all copies of the original message. Next message: Rafael Haciski: "Re: GYN: FDA Says A Hormone Is A Hormone" Previous message: Small, Jennifer: "Re: Gyn: Cervical Cancer Screening" In reply to: rchudacoff@mylinuxisp.com: "Re: Gyn: Cervical Cancer Screening" Next in thread: Richard Chudacoff: "Re: Gyn: Cervical Cancer Screening" Reply: Richard Chudacoff: "Re: Gyn: Cervical Cancer Screening"

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