Re: Gyn: Cervical Cancer Screening
From: ainsron (ainsron@sbcglobal.net)
Mon Jan 14 12:48:27 2008
I've always thought the opposite, LGSIL is usually high risk HPV, HGSIL is
always high-risk HPV.
Ronald E. Ainsworth, MD, FACOG
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of FRANCES
WREN
Sent: Monday, January 14, 2008 11:41 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Gyn: Cervical Cancer Screening
I thought that the majority of thr LSIL paps are lo risk HPV..
am I wrong.
I just usually follow them ...certainly in the younger women.the older ones
I worry about and am more aggressive.
frances wren
>----- Original Message -----
From: evsono@pipeline.com (art fougner, md)
Date: Saturday, January 12, 2008 11:57 am
Subject: Re: Gyn: Cervical Cancer Screening
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> For your viewing pleasure, the ASSCP 2007 consensus guidelines
> may be
> seen here:
> http://nmanet.org/index.php?/video/index/your_practice_and_the_2007_accp
>
> Art
>
> At Sat, 12 Jan 2008, Larry Glazerman wrote:
> >
> >I think the argument here is one of cost-effectiveness. Since
> the ALTS
> >trial showed that >80% of LSIL paps will be HRHPV positive,
> it's more
> >cost effective to colpo all LSIL (to find the occasional cervix that
> >actually has a HSIL), than to do HRHPV on ALL LSILs, and then colpo
> >the 80% that are HRHPV positive.
> >
> >ASCUS is a different story. Since the prevalence of HRHPV in
> the ASCUS
> >population is much lower (I quote around 20%), then doing HRHPV
> on all
> >ascus makes sense - forget about the ones who are HRHPV
> negative, and
> >colpo the ones who are positive.
> >
> >Having said that, IF I were in the position that I knew I had a
> >patient with LSIL and negative HRHPV, I might not colpo her, as you
> >suggest.
> >
> >--
> >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 12, 2008, at 11:04 AM, <rchudacoff@mylinuxisp.com>
> <rchudacoff@mylinuxisp.com> > wrote:
> >
> >> and my thought is why do a colpo on ASCUS or LGSIL abscence
> of HR HPV?
> >>
> >> Richard Chudacoff, MD, FACOG
> >> -sent from my Treo 650
> >>
> >> -----Original Message-----
> >>
> >> From: Larry Glazerman <l.glazerman@rcn.com>
> >> Subj: Re: Gyn: Cervical Cancer Screening
> >> Date: Fri Jan 11, 2008 6:06 pm
> >> Size: 1K
> >> To: Multiple recipients of list OB-GYN-L <ob-gyn-
> l@dns.obgyn.net>>>
> >> Yes, HPV 6 and 11 have been known to cause LGSIL, but
> virtually NEVER
> >> HGSIL. Therefore the LGSIL that might be caused by 6 and 11
> is even
> >> less concerning than that caused by 16-18 (which most of us
> wouldn't>> treat anyway.
> >>
> >> If I were a betting man, or lived in Las Vegas, I wouldn't do HRHPV
> >> testing on a LGSIL.
> >>
> >> 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 11, 2008, at 4:06 PM, Richard Chudacoff wrote:
> >>
> >>> I never assume anything and it had kept me out of trouble do far.
> >>> Are you
> >>> telling me that a low risk HPV cannot cause LGSIL?
> >>>
> >>> Richard Chudacoff, MD, FACOG
> >>> -----Original Message-----
> >>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On
> Behalf Of
> >>> Small,
> >>> Jennifer
> >>> Sent: Friday, January 11, 2008 10:15 AM
> >>> To: Multiple recipients of list OB-GYN-L
> >>> Subject: 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
> >>
> >> --- message truncated ---
> >>
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
