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Re: current CIN 3 in an immunosuppressed patient From: Efrain Ramirez (eramirez@icepr.com) Wed Nov 22 20:42:39 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Family" Previous message: Efrain Ramirez: "Re: Error Condition Re: Re: current CIN 3 in an immunosuppressed patient" In reply to: art fougner, md: "Re: OB: so much for 'good dates.'" Next in thread: DoctorJoe@aol.com: "Re: OB: Wrongful Life" I would urge her to get pregnant sooner - HPV typing might help her in her decision making process. At Wed, 22 Nov 2000, Richard Chudacoff, MD wrote: > >What about interferon treatment? 5FU? > >-- >Richard Chudacoff, MD > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Ron Jewell >Sent: Wednesday, November 22, 2000 8:33 AM >To: Multiple recipients of list OB-GYN-L >Subject: Recurrent CIN 3 in an immunosuppressed patient > >I have a renal transplant patient, nulliparous age 28 who has now had 3 >LLETZ(LEEP) procedures performed for CIN 3 over a 3 year period. Each >specimen shows complete excision of the lesion. The last procedure was >6 months ago. > >Unfortunately her last smear shows CIN 1 and on colposcopy there is a >tiny area of CIN 3, confirmed by biopsy on the new transformation zone. >Amazingly there is still a reasonable amount of cervix present. >Presumably she has a high risk HPV type present in association with the >immunosuppression needed to maintain her transplant. There is no >obvious disease in the vagina or on the vulva. > >Do I keep nibbling away at her cervix? Would HPV typing give any >guidance? She wants to get pregnant in about 2 years time. > >All opinions are welcome. This girl intends to travel to the UK and >Holland next year. Would anyone in the UK or in Holland like to see her >as a patient? > >Regards >Ron Jewell Bunbury Western Australia > -- "Do not take life too seriously. You will never get out of it alive." Marianne Williamson Next message: Efrain Ramirez: "Re: Family" Previous message: Efrain Ramirez: "Re: Error Condition Re: Re: current CIN 3 in an immunosuppressed patient" In reply to: art fougner, md: "Re: OB: so much for 'good dates.'" Next in thread: DoctorJoe@aol.com: "Re: OB: Wrongful Life"

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