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Re: ASCUS/ Positive HPV in elderlyFrom: FRANCES WREN (fwren@shaw.ca)Fri Mar 28 10:03:31 2008
----1c0736a91c76a1c3965df Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit you will not see up the cervical canal to the S/C junction...you will need to do an ECC... even then one wonders re the whole thing... I am wondering if one should just right off the bat do a narrow LEEP... but probably I would buy time she is 80 after all...and just do an ECC and go from there. frances wren
>----- Original Message -----
> Growing older has certainly changed my perspective. ----1c0736a91c76a1c3965df Content-Type: text/html; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: quoted-printable <DIV>you will not see up the cervical canal to the S/C junction...you will need to do an ECC...</DIV> <DIV>even then one wonders re the whole thing...</DIV> <DIV>I am wondering if one should just right off the bat do a narrow LEEP...</DIV> <DIV>but probably I would buy time she is 80 after all...and just do an ECC and go from there.</DIV> <DIV>frances wren <BR><BR>----- Original Message -----<BR>From: evsono@pipeline.com (art fougner, md)<BR>Date: Friday, March 28, 2008 7:05 am<BR>Subject: Re: ASCUS/ Positive HPV in elderly<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> Growing older has certainly changed my perspective.<BR>> <BR>> Art<BR>> <BR>> At Fri, 28 Mar 2008, Joe wrote:<BR>> ><BR>> >HPV is gonna change our way of thinking about sexually after <BR>> 70. Joe C<BR>> ><BR>> >Kathleen Griffin, M.D. wrote:<BR>> >> I have an 80 year old patient who had hematuria and her PMD <BR>> did a Pap<BR>> >> smear, which came back ASCUS, endocervical cells absent, <BR>> positive for<BR>> >> high risk HPV by Digene Hybrid Capture II testing. A <BR>> repeat test was<BR>> >> also positive.<BR>> >> Her entire lifetime her Pap smears were always normal, and <BR>> her last<BR>> >> sexual activity was 10 years ago.<BR>> >> She is taking "natural" compounded HRT.<BR>>&# 059; >> Could this be false positive? Is it indicated to do <BR>> colposcopy?>><BR>> >> --<BR>> >> Kathleen Griffin, M.D.<BR>> >><BR>> <BR>> --<BR>> art fougner, md<BR>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton<BR>> </DIV> ----1c0736a91c76a1c3965df--
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