|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: LGSILFrom: Brickster0@aol.comTue Aug 29 10:32:03 2000
Catlin I use TCA on LGSIL and atypia. The literature says most of these regress, but we all have pts that have recurrent ASCUS, and this works well on them. Do it at the time of colposcopy and/or biospy. Conversly I' heard of docs essentially painting the vagina and vulva with TCA because of "acetowhitening." DON'T DO THIS. Regarding the LEEP issue I just excise the lesion. If it extends over the portio and the patient is desirous of childbearing I will frequently use a laser to ablate the area. I usually have at least one pregnant lady at all times with a cerclage in place from the overzealous use of LEEP. Catilin wrote: Being fairly new to this forum I'm not sure if you guys have already discussed this-if so I apologize. I'm curious if anyone out there is using TCA to treat LGSIL of the cervix instead of cryo? I was taught this method by a former partner. I love it as a technique-much less discomfort, I'm able to treat just the lesion instead of the whole cervix, I haven't seen the cervical stenosis I see after cryo. I've never found this discussed in the literature-which makes me a bit uncomfortable doing it. Just wondering if others are doing it. Also I've had this ongoing fight with a partner about LEEPs for higher grade lesions-do most people LEEP just the lesion or do they take the whole TZ zone? There's literature to back up both methods-I'm curious as to what most people are actually doing.
-- Cait Cusack
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:45:20 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.