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Re: HPV: DNA---UPDATE to Dr. Lyons, Jo Ann....please help...gyn oncologist

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Thu, 25 Sep 2008 19:13:58 -0500 (CDT)

Robin

OK, lets start from scratch If you have an abnormal pap, that is not obvious cancer, basically it is: ASCUS, LGSIL or HGSIL.

ASCUS will have HPV typing done, the others really do not need it as you already have dysplasia which is predominately caused by HPV, and you will need a colposcopy with LGSIL and HGSIL.

If you have low grade virus on the HPV typing with an ASCUS pap, nothing more needs be done except to return for a year. If you have high grade virus on the HPV typing with an ASCUS pap, you need a colposcopy.

That is the basics. If you do not see any colposcopic abnormalities, and the endobrush or an endocervical curettage is normal, repeat pap in 4-6 months is appropriate...Dr. von Almen

At Wed, 24 Sep 2008, Robin wrote: >
>Thank you, Dr. Lyons. Also, thank you to both Jo Ann and Dr. Bill!!!!
>All of you are absolutely awesome!
>
>I saw the GYN ONC today (Dr. Lyons, I saw Ben Benigno at Northside). I
>don't feel any better now then I did yesterday. He told me absolutely
>nothing! I have the report in front of me, and what Dr. Benigno said,
>is nothing like the report or the GYN said. It reads as follows:
>
>"HPV, High-Risk Positive Abnormal"
>"HPV, low-risk Negative"
>
>"These HPV tests detect thirteen high-risk types
>(16/18/31/33/35/39/45/51/52/56/58/59/68) and five low-risk
>(6/11/42/43/44) without differentiation."
>
>This to me doesn't look like anything to NOT worry about! Does this mean
>I have all of the high risk types??
>
>My GYN has been my MD for 10 years. I've known Dr. Benigno for less
>than a day!!! Dr. Benigno just said, "You are fine!" I asked him about
>the above report and his response was, "Oh, don't worry about it. You
>are fine." Does this look fine to you?? Please, do not misunderstand, I
>am not looking for something, but I am definitely confused. I tried to
>ask him questions and he didn't have time to answer anything for me. He
>just said, "Follow up with your GYN in six months. Its been a real
>pleasure meeting with you today."

--
 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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