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Re: Cervical stenosis 8 months post conizationFrom: Marco A. Pelosi, III, MD (marcop@agoron.com)Wed Feb 24 08:34:16 1999
At Wed, 24 Feb 1999, Myer S. Bornstein wrote: > >I attended a conference in Atlanta where the GYN-ONC advised following, in >compliant Patients, CIN 1 with paps only. Use informed consent. If it is >CIN a cone is not needed. >Myer > Long time, no surf this site. As a politician might phrase it, I agree and I disagree. Anything uttered by anyone at a conference should be regarded with extreme skepticism and until backed by solid, non-anecdotical evidence should be labeled an Opinion. The issue at hand is an assessment of ENDOCERVICAL CIN in the absence of an adequate colposcopic evaluation. This finding creates a diagnostic catch-22 as regards conization... If I do the cone and nothing worse than LSIL turns up, then I shouldn't have done the cone. If I do the cone and something worse than LSIL turns up, then I should have done the cone. If I don't do the cone, I won't risk cervical stenosis, but I also won't have a solid, reliable diagnosis (-and we've all seen anecdotical teenagers with cervical ca).
-- Marco A. Pelosi, III, MD
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