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Ascus management questionFrom: ENDODOK@aol.comThu Jul 31 09:57:32 2008
Have a 50 yr old postmenopausal clinic pt that I inherited when I took over as managing gynecologist in March. Over the last 4 years she has had recurrent Ascus smears, with positive high risk HPV screen. A couple of years ago she did have a single Bx of CIN 1. Subsequent smears done every 4-6 months remain Ascus/ HRHPV pos. Colposcopy repeatedly neg for exocervical lesions. ECC not possible because of total cervical stenosis. No atypical glandular cells ever encountered. Clinic NP's and OB/GYN Director concerned that cervical canal not adequately assessed . They are inclined to proceed with LEEP/ cone bx. Apppreciate your comments. J. Glenn Bradley MD
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