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Re: AdenoCa in situ, Cervix, pregnantFrom: Braun, R. Daniel (rbraun@iupui.edu)Fri Jan 28 14:58:17 2000
R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: garrys@mindspring.com [mailto:garrys@mindspring.com] Sent: Friday, January 28, 2000 4:27 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: AdenoCa in situ, Cervix, pregnant 31 YO P1011, now 9 weeks, is 6 months post LEEP for AdenoCa in situ of the cervix and moderate squamous dysplasia, both with clear margins. The first follow up pap at 3 months was normal, and was repeated today and is pending. She has a LTC/S for a breech in her first pregnancy without labor. She wishes to VBAC. This is her last planned child. Questions: 1. If she ends up with a repeat C/S for some reason, would you do a C-hyst? Maybe scheduled. 2. If she delivers vaginally, and is through with childbearing, and if her paps are normal, does she need further treatment (ie a hyst down the road a few months)? NO 3. If she comes to a C/S, and wants no further children, and a hyst is contemplated for the future, would you do a TL if requested anyway? I don't think I would be here to start with. Food for throught. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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