Re: HPV?-Where's the straight answer?
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 26 Aug 2001 12:51:52 -0500 (CDT)
Simple answer. Get an HPV low risk/ high risk cervical sample to get
the answer rather than debate the possiblities. Once that is back, the
discussion can begin.
Hope this helps and write back anytime for more information.
HSM
At Sun, 26 Aug 2001, Melanie wrote:
>
>At Wed, 22 Aug 2001, Melanie wrote:
>>
>>At my yearly pap screening brief, I was told that HPV was
>>found on the cervix. I then went for a colposcopy/w biopsy; two
>>"abnormal" spots were sampled, but no veneral warts were seen. The path
>>report for the biopsy doesn't specifically mention HPV, but states a diagnosis
>>of <<Parakeratotic squamous mucosa with Parabasal cell Hyperplasia>>
>>
>>Is this diagnosis consistent with HPV? Or is this just
>>normal cytology for a 47 year old female?
>>
>>Considering the Abadi & Ho et al paper on overdiagnosis
>>of HPV, (Abadi MA; Ho GY; Burk RD; Romney SL; Kadish AS. Stringent
>>criteria for histological diagnosis of koilocytosis fail to eliminate
>>overdiagnosis of human papillomavirus infection and cervical
>>intraepithelial neoplasia grade 1. Hum Pathol 1998;29(1):54-9), I have
>>reason to wonder.
>>
>>Thank you for any comments or insights you might have!
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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