Re: HPV: DNA---UPDATE to Dr. Lyons, Jo Ann....please help...Dr. von Almen????
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 23 Sep 2008 12:35:50 -0500 (CDT)
Robin
I think the gyn onc will repeat the colpo and do an ecc to check the
canal. If you continue to get results that do not agree, you will
probably need a Cold Knife Conization of the Cervix...Dr. von Almen
At Mon, 22 Sep 2008, Robin wrote:
>
>Hi Jo Ann...
>
>First and foremost, thank you so much for your help!!!!
>
>When my GYN performed the Colpo, he did not see anything to biopsy, so
>none were done, just the Viral Pap. That is what the MD told me about
>today. He said it is highly suspicious or suggestive.
>
>The list of questions I have for the GYN ONC has grown considerably this
>evening. Seeing as it is 11:45pm, and I do not feel the least bit
>tired, that list is going to continue to grow!
>
>As I think I may have written earlier, I get the watch and wait
>approach, however, if the Colpo that was done was "normal," then what is
>to say that won't continue to show normal, but in actuality it isn't as
>the cells that have come back abnormal are within the cervical canal???
>That is what really scares me. I certainly do not want to have to go
>through a surgery if it isn't absolutely needed and a more conservative
>approach can be taken, but I also do not want something to become
>cancerous if it isn't now only because it is in an area that can not be
>seen with the colposcope. Does that make sense??
>
>Dr. von Almen, if you are reading this, I'd love to get your opinion on
>this as well.
>
>I was really trying to stay calm and not sweat this, especially when I
>kept telling myself the colpo was negative, so that was definitely a
>great sign, however, someone rained on my parade :(....
>
>Thank you again, Jo Ann!!!!
>
>>>I just got the results of the DNA test that was done. My GYN said the
>>>test is highly suggestive or suspicious. He said it is one of the HPVs
>>>that have a higher likelihood of becoming cancerous. I am being sent to
>>>a GYN Onc for another opinion regarding the next step (numerous
>>>Colposcopies each year, a cream or surgical removal of the cervix).
>>>
>>>In your opinion, and I realize you do not have the results sitting in
>>>front of you, would you recommend surgery to remove the cervix or
>>>watching and waiting?
>>Robin
>>You are doing everything right.I do recommend a second opinion.You need
>>to make a list of what is concerning you and what questions you
>>have.Bring that list with you to your doctor.Bring copies of your lab
>>tests to your appointment.Our lab only tests for the High Risk types of
>>HPV.The low risk types are not even tested.As a Nurse Practitioner ,if
>>you were my patient, I would send you for a second opinion.Sometimes ,if
>>you had biopsies they can even be re read by a different lab before you
>>decide.Some will be mad at me for suggesting that because there could be
>>differences of opinion.
>>To test your endocervical canal ,a test called an endocervical curretage
>>or LEEP or Cone biopsy are some tests,often also treatments to ask
>>about.However, that can be dealt with if and when it occurs.You are in
>>great hands .A GYN ONC MD consult does not mean you have cancer.They can
>>also help you to be treated before you have that condition.Please let us
>>know how your second opinion goes.JoAnn NP
--
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 emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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