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Re: GYN: AdenoCa in situ, Cervix, pregnantFrom: John Robertson MD (john.robertson@obgyn.net)Sat Jan 29 10:38:47 2000
At Fri, 28 Jan 2000, Garry Siegel wrote: > >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? a non elective C/S hyst is not the same thing in my books as an elective one. No.
>2. If she delivers vaginally, and is through with childbearing, and if This should be offered - the other option is very close follow up with colposcopy and biopsies.
>3. If she comes to a C/S, and wants no further children, and a hyst is A TL at C/S is no big deal, but probably unnecessary.
>
-- J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9 (604) 793-9988 e-mail john.robertson@obgyn.net Who is wise and understanding among you? Let him show it by his good life, by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
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