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Re: New Case: LGSIL, years in the making From: Larry Glazerman (l.glazerman@rcn.com) Thu Aug 31 21:50:50 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: K Dew: "Re: Laboring Down" Previous message: james connerth: "Re: New Case: LGSIL, years in the making" In reply to: Joanne Bulley, MD: "New Case: LGSIL, years in the making" Next in thread: Donna L. Elder: "Re: New Case: LGSIL, years in the making" I would colpo with possible biopsy, and if not worse than LSIL, continue to follow with paps. This is similar to a dilemma we face often: the ASCUS or LSIL pap, normal colpo, continued ASCUS or LSIL pap. My feeling is that I will follow them indefinitely unless the pap gets wores than LSIL. What to others do? At 09:28 PM 8/31/00 -0500, you 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 -- Larry R. Glazerman, MD Ob-Gyn at Trexlertown 610-402-0161 l.glazerman@rcn.com Next message: K Dew: "Re: Laboring Down" Previous message: james connerth: "Re: New Case: LGSIL, years in the making" In reply to: Joanne Bulley, MD: "New Case: LGSIL, years in the making" Next in thread: Donna L. Elder: "Re: New Case: LGSIL, years in the making"

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