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Re: New Case: LGSIL, years in the making From: james connerth (babydoc@apex.net) Thu Aug 31 21:49:30 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: New Case: LGSIL, years in the making" Previous message: Paul Prior MD: "Re: Spam" Maybe in reply to: Joanne Bulley, MD: "New Case: LGSIL, years in the making" Next in thread: Larry Glazerman: "Re: New Case: LGSIL, years in the making" If NO irregular bleeding-would colpo and appropriate biopsies-get good endocx sample seperately with brush in liquid media;be sure and check vaginal fornices with scope.Is she in a hi risk group? "Joanne Bulley, MD" wrote: > 44yo G0, moves to my area and comes to me. She has a litany of > interactions with docs she was not thrilled with and "interviews" me > before she decides whether she will have me do her Pap. > > 9 years ago had repeated bouts of post coital bleeding and what we then > called cervical erosion or eversion. Normal Pap, so cryo done and no > more PCB. > > 8 years ago - LGSIL with HPV. Colpo and biopsy then cryo > Since then the ONLY normal Pap was 1 year ago at her last docs. No Pap > since. > > During that 8 years, she has numerous colpos, biopsies and 2 LEEP's. > > In 98 or 99 she had HPV typing - because all the paps and biopsies said > koilocytosis and HPV - and was negative for all 9 (or 12?) types of HPV > in the screen. > > So... I pass the screening test with her and we complete the rest of > her history and physical. > > The SCJ is visible but the cervix is pretty nearly flush with the > vaginal apex. > > Pap - LGSIL with some koilocytosis. > > Who wants to do what... with/for this patient? > > -- > Joanne Bulley, MD > Keene, NH, USA Next message: Larry Glazerman: "Re: New Case: LGSIL, years in the making" Previous message: Paul Prior MD: "Re: Spam" Maybe in reply to: Joanne Bulley, MD: "New Case: LGSIL, years in the making" Next in thread: Larry Glazerman: "Re: New Case: LGSIL, years in the making"

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