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Re: HGSIL in pregnancy From: ainsron@msn.com Mon Mar 12 22:04:09 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: K Dew: "patient management question LONG" Previous message: Douglas Krell: "Re: Post partum seizure and hyponatremia" In reply to: Garry Siegel: "Re: HGSIL in pregnancy" Next in thread: Braun, R. Daniel: "Re: HGSIL in pregnancy" I had one just like that recently, I thought she needed a cone after I biopsied her and colposcoped her, but the gyn onc felt there was nothing ominous and recommended f/u postpartum if the paps remained the same - HGSIL. >>Would you: >>1. repeat pap q trimester >>2. repeat colpo/pap and bx prn q trimester >>3. LEEP or "coin"(shallow cone) her now >> >Caryn: > >If you are comfortable that your visualization is adequate, and you do >not believe that she has invasive cancer, then I would follow her with >#2 above, realizing that her colposcopy isn't going to get easier. > >If you are unsure, or suspect cancer, do a "coin." > >If you have a gyn oncologist handy, it wouldn't be crazy to get his/her >opinion (i.e. let him/her colpo, too). > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- Ronald E. Ainsworth, MD Next message: K Dew: "patient management question LONG" Previous message: Douglas Krell: "Re: Post partum seizure and hyponatremia" In reply to: Garry Siegel: "Re: HGSIL in pregnancy" Next in thread: Braun, R. Daniel: "Re: HGSIL in pregnancy"

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