Re: GYN: Recurrent LGSIL
From: ainsron@msn.com
Wed Jul 19 03:00:43 2000
I agree.
>and what about a plain TVH ?
>
>--
>Bernard Cristalli MD AMACOG
>AIHP - ACCA
>Paris France
>Bernard.Cristalli@CliniquedelEssonne.fr
>http://www.CliniquedelEssonne.fr
>http://www.obgyn.net/corresp/cristalli.htm
>http://www.gyneweb.fr
>'64 Mk2 3.8
>
>> De : garrys@mindspring.ocm (Garry E. Siegel)
>> Répondre à : ob-gyn-l@obgyn.net
>> Date : Tue, 18 Jul 2000 20:55:54 -0500
>> À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
>> Objet : GYN: Recurrent LGSIL
>>
>> 51 YO P2002, menopausal on Prempro 2.5, inherited from Gyn who moved.
>> 1998, OR Leep for preop Bx. LGSIL, I think, or pap HGSIL--can't exactly
>> remember now. LEEP path--squamous atypia, didn't really jive with pap
>> (I do remember that).
>>
>> Follow up pap with me this year LGSIL, colpo unsat., no lesion 3 months
>> ago. Recent colpo with estinyl 10 days beforehand--no lesion, unsat,
>> pap LGSIL, ECC squamous atypia.
>>
>> Oh, FWIW, in trying to triage her into a low risk group, I did HPV
>> typing--she's positive for high risk HPV.
>>
>> So, she has persistent LGSIL paps, atypia on an ECC, and a high risk HPV
>> type.
>>
>> I favor another LEEP* for definition/possible treatment, versus careful
>> followup with paps 3 to 4 times yearly, and intervention if worse than
>> LGSIL.
>>
>> Opinions?
>>
>> Garry
>>
>> *I guess you could argue that she needs a CKC, not a LEEP, but I think a
>> good LEEP with a top hat will do it.
>>
>> --
>> Garry E. Siegel, M.D., F.A.C.O.G.
>> Private Practice
>> Roswell, GA
>>
--
Ronald E. Ainsworth, MD
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