WOMENS-HEALTH Messages for August, 2001: Re: 2nd Opinion for cervical cancer?

Re: 2nd Opinion for cervical cancer?

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 15 Aug 2001 17:07:23 -0500 (CDT)

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In reply to: Concerned: "2nd Opinion for cervical cancer?"

At Wed, 15 Aug 2001, Concerned wrote: >
>My mother received biopsy results back for a cervical biopsy. From what
>she is telling me, it is malignant cells but doctor says they are
>localized so they can do a procedure to remove just those cells, and
>there is a 10-40% chance that it can return.
>
>I am concerned because she has not gotten a second opinion on the biopsy
>results. My question is how 'subjective' are biopsy results to read?
>>From what I have heard, what one person interprets could be
>contradictory to another's opinion. So is this true and if so do you
>generally recomend a 2nd opinion on biopsy results and course of action?

*Pap smear interpretation can be varied. Biopsies on the other hand are usually quite straight forward and when they are not, most pathologists will automatically get another opinion from a colleague.

>
>Second question, I would like her to seek out a specialist at least to
>perform this. How difficult is that procedure and if it were your
>mom,would you suggest trying to see a specialist from one of the top nyc
>hospitals (we live close) or is she fine with her regular doctor?

*As long as your mother's physician is a OB/GYN, this should be fine to perform the procedure. The actual procedure could be performed safely and effectively by a first year resident, however, there are certain aspects that make an experienced OB/GYN preferable over say a family practitioner... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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