WOMENS-HEALTH Messages for October, 2001: Re: 2nd post- Drs only... Second cone negative.. now what?!?!

Re: 2nd post- Drs only... Second cone negative.. now what?!?!

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 3 Oct 2001 10:15:35 -0500 (CDT)

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At Tue, 2 Oct 2001, CC wrote: >
>I have posted here before. Had cone- 11/00. CIS with uninvolved
>margins. 1st pap 3mos postop= normal. Second pap 6mos postop= severe
>dysplasia, CIN II; ECC normal. Coploscopy performed... several
>biopsies taken, all normal. Vaginal area evaluated with acetic acid as
>well.. nothing abnormal seen. Pap reread at teaching hospital, agreed
>with dx of CIN II, severe. Second cone recommended since colposcopy
>could not explain it... I was leary, however, since margins were clear
>after first cone. I have not yet had kids and want them (am 33 y/o) so
>was very concerned and discussed this with my gynonc. Second cone was
>performed by the gyn/onc last week.
>Well, got results today. Cone sample is NEGATIVE!! I have to wait 3wks
>to see gynonc and I am going nuts! I mean, I had healthy cervical tissue
>removed with no results to explain the pap!
>
>Questions: What NOW???? I am going to refuse to have any more surgery.
>What do you Drs. think of this whole situation, and what would you do
>next?? It would be almost impossible at this point to talk me into any
>more slicing and dicing.
>
>--
>CC
>

You are in a very tough position, but your doctors did exactly the right thing. The recurrence of high grade dysplasia so soon after a CIS was treated is a VERY bad prognostic sign. You have an aggressive case of this disease, and your chances of developing cancer of the cervix must be considered to be unacceptably high. You are not being "sliced and diced" for amusement, but because you have a serious problem that could get worse. I think that a blanket statement that you will refuse any additional surgery is ill advised to say the least. Certainly, you are going to want to carefully evaluate the risks and benefits, but just saying "no more surgery under any circumstance" is foolish and self-defeating. There is not a responsible GYN or GYN oncologist that would not have recomended the exact treatment that you have had.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: William McIntosh, MD: "Re: odd growth - no explanation - MD help?!"
Previous message: carlie: "low progesterone v.s. short luteal phase-same thing or not?"
In reply to: CC: "2nd post- Drs only... Second cone negative.. now what?!?!"
Next in thread: cc: "Dr. Macintosh.. one more question..re: Second cone negative.. now what?!?!"
Reply: cc: "Dr. Macintosh.. one more question..re: Second cone negative.. now what?!?!"

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