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Re: Hopefully Last Questions - Agus
From: jwang, M.D. (anonymous@obgyn.net)
Fri, 31 Mar 2000 18:14:07 -0600 (CST)
The work-up you've had is what most docs would do. For DES daughters,
the evaluation recommended is a baseline colposcopy to evaluate the
vagina and cervix, then provided that the evaluation is normal, yearly
cervical and vaginal PAP smears.
If the work-ups continue to be negative, despite abnormal PAP smears, a
cone biopsy can be performed for another attempt at diagnosis.
Another option, if not already done is a consultation with a gynecologic
oncologist for another opinion.
At Fri, 31 Mar 2000, Ruth wrote:
>
>Sorry to ask so many questions but this has been very stressful to me.
>As I said, last year I had AGUS and simple hyperplasia (prolonged
>estrogen effect) was the diagnosis of the workup. This year, I still
>show AGUS on the pap although the endocervical curretage and endometrial
>biopsy are benign. I am going back in 6 months for the colpo, the
>office endometrial biopsy, the pap/vaginal slides, the endometrial
>curretage, the whole works. Now, if they all are benign (that will be
>Sept)and I still have the AGUS on the pap should I consider the
>hystectomy at that time or do I wait 6 more months and test again? Is
>there any other alternative to a hysterectomy that wouldn't be too much
>of a gamble with my health?
>
>Since my recent workup was benign, how much of a risk am I taking
>waiting 6 months to retest? And if they do find the abnormal cells,
>let's say in the vagina (because of the DES in utero exposure) what is
>done about that? I don't want to worry the whole 6 months til I retest
>feeling like I am a walking time bomb. Am I? : ) Thank you for your
>concern and understanding. These should be my last questions. Bless
>the doctors on this forum for your kindness and your knowledge. I know
>I asked a lot, but I'd feel a lot better with a gameplan. Ruthie
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