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Re: cervical cancer follow up

From: Karen (anonymous@obgyn.net)
Thu, 27 Mar 1997 16:36:09 -0600 (CST)


At Wed, 26 Mar 1997, Douglas wrote: >
>At Mon, 24 Mar 1997, Karen wrote:
>>
>>I have a 24 yr old student who just had surgery for cervical cancer 2
>>wks ago by an ob/gyn.
>
>Karen,
>
>Wow! There is a lot of misconception out there about this kind of
>surgery! Your student did NOT have cancer. She had a pre-cancerous
>lesion; one which COULD have become cancer under certain circumstances,
>but was likely NOT CANCER. The treatment for cervical CANCER is RADICAL
>surgery or radiation. These precancerous conditions are called by a
>variety of names: Dysplasia and Carcinoma-in-situ are two commonly used
>terms.
>
>The usual care for patients who have undergone this kind of therapy is
>simple. Nothing in the vagina for 2-4 weeks. Report any fever, pain,
>or persistant bleeding or discharge.
>Follow up PAP smear in 4-6 months and use condoms til then.
>
>--
>Douglas Krell MD FACOG
>

I do not know where you are located, so unless you did the pathology on my student, how do you know she did not have cancer? She told me they did a pap, then did a biopsy and it WAS cancer. She had not had a pap done in 6 years, so they told her it was fairly bad. Then they did surgery. I didn't probe her for specifics on exactly what they did in this surgery so I do not know exactly how 'radical' it was. I appreciate your response, especially since you're the only one to respond, but I do not appreciate you calling us a liar when she had the path report to prove it.




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