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Re: GYN: LGSIL From: mark decker (mdecker@nconnect.net) Sun Jan 30 14:22:42 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mark decker: "Re: urodynamic testing" Previous message: Eberhard W Lisse: "Re: VBAC, Three previous CS." In reply to: Garry Siegel: "GYN: LGSIL" Next in thread: Paul Prior MD: "Re: GYN: LGSIL" Reply: Paul Prior MD: "Re: GYN: LGSIL" i leep moderate sq dysplasia or worse and mild glandular dysplasia or worse. mild sq. dysp i just do paps q 3 x 4 or q4 x 3 as it will go away on it's own 70% of the time and the miss rate on three consecutive paps should be no > than 1/120 or so and it would progress so slowly. i have done this for > 10 years and it works out well for me. persistant or progressive findings show up on serial paps and i still just leep tham when they progress. just my own logic. works well for me. mdmd At 07:08 PM 1/27/00 -0600, you wrote: >Has anyone seen anything practical regarding expectant management with >LGSIL, now that HPV typing is readily available with liquid based pap >media? > >For instance, I bet most of us have seen a young woman with an LGSIL or >HPV pap, who subsequently has inadequate colposcopy and/or a positve ECC >(atypia, HPV changes, etc.). Traditionally, a patient such as this >should undergo conization (you can LEEP, or laser cone), and most of the >time they just have LGSIL or somesuch. > >Anybody being a bit more bold? Anybody have any references? Please >realize that I'm much to lazy to actually do a medline ;) > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > Mark H Decker MD Ob-Gyn Mid West USA Multispecialty Clinic Next message: mark decker: "Re: urodynamic testing" Previous message: Eberhard W Lisse: "Re: VBAC, Three previous CS." In reply to: Garry Siegel: "GYN: LGSIL" Next in thread: Paul Prior MD: "Re: GYN: LGSIL" Reply: Paul Prior MD: "Re: GYN: LGSIL"

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