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Re: Adenonocarcinoma in situ

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 17 Feb 1998 22:19:11 -0600 (CST)


At Tue, 17 Feb 1998, laura wrote: >
>Doctor,
>You answered an earlier question about adenocarcinoma, and I appreciate
>it deeply. I am still a bit confused.
>
>Is adenocarcinoma in situ the same thing as having severe dysplasia in
>your endocervical canal? Or is it cancer already?

It is similar but may be more aggressive and is of greater concern now and in the future as well as being much harder to follow up.

>The word adenomcarcinoma sounds like cancer, but I was wondering if it
>is just like carcinoma in situ only in further up the cervix.

Yes but with the addition noted above.

>After a
>LEEP the doctor said I had it, (margins were clear) but I can't figure
>out if I should be more worried about it.

Careful follow up with paps and endocervical curettages as necessary are the mainstay of followup. Re-LEEPing may also be necessary.

>Sorry if I am a bit slow in understanding, thanks again for your time
>and patience. It is much appreciated.

It's a confusing subject. You did great.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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 no private emails will receive a response.

**Thank you for your understanding ;-)




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