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Re: ASCUS/ Positive HPV in elderly From: Rafael Haciski (haciski@earthlink.net) Fri Mar 28 11:24:42 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly" Previous message: FRANCES WREN: "Re: ASCUS/ Positive HPV in elderly" Next in thread: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly" Reply: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly" The older the pt, the less retrained I am about taking a generous bx - and in an 80 yo the cx is probably very small and a small swipe with the Loop (generous bx) will in essence do a cone, add the ECC and you are good. Dx'ed and tx'ed. -- Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL. On Mar 28, 2008, at 12:06 PM, FRANCES WREN wrote: > 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 ----- > From: evsono@pipeline.com (art fougner, md) > Date: Friday, March 28, 2008 7:05 am > Subject: Re: ASCUS/ Positive HPV in elderly > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > > > Growing older has certainly changed my perspective. > > > > Art > > > > At Fri, 28 Mar 2008, Joe wrote: > > > > > >HPV is gonna change our way of thinking about sexually after > > 70. Joe C > > > > > >Kathleen Griffin, M.D. wrote: > > >> I have an 80 year old patient who had hematuria and her PMD > > did a Pap > > >> smear, which came back ASCUS, endocervical cells absent, > > positive for > > >> high risk HPV by Digene Hybrid Capture II testing. A > > repeat test was > > >> also positive. > > >> Her entire lifetime her Pap smears were always normal, and > > her last > > >> sexual activity was 10 years ago. > > >> She is taking "natural" compounded HRT. > > >> Could this be false positive? Is it indicated to do > > colposcopy?>> > > >> -- > > >> Kathleen Griffin, M.D. > > >> > > > > -- > > art fougner, md > > "May The Wings of Liberty Never Lose a Feather." - Jack Burton > > Next message: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly" Previous message: FRANCES WREN: "Re: ASCUS/ Positive HPV in elderly" Next in thread: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly" Reply: Joanne Bulley, MD: "Re: ASCUS/ Positive HPV in elderly"

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