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Re: peated abnormal pap From: Myer Bornstein (mborn@massmed.org) Fri Jul 11 12:46:20 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell: "Re: Odd forceps once again" Previous message: Braun, R. Daniel: "Re: VBAC revisited" In reply to: Miles Mahan: "Re: peated abnormal pap" Miles I know that protocol is in trials at present. It would be at present an off label use Myer -- Myer S. Bornstein, MD, MMM, FACOG, FACPE, CPE -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Miles Mahan Sent: Friday, July 11, 2003 1:31 PM To: Multiple recipients of list OB-GYN-L Subject: Re: peated abnormal pap Thanks for the input. I guess I did not make it clear that I inherited this patient after the LEEP. I plan to offer her repeat paps q4-6 months vs colpo with repeat ECC (given the last ECC was not completely normal). Has anyone tried anything with aldara on the cervix? At Thu, 10 Jul 2003, Miles Mahan wrote: > >I have a patient, 20 years old g1p1, who has ASCUS with a positive HPV >Hybrid capture for high risk viral types. >She has a history of Cin 1 and had cryosurgery performed last year. >A repeat colpo revealed CIN 1 again and she underwent a LEEP in January >03. The LEEP results were CIN1 ECC revealed Koilocytosis with HPV. >Margins were not involved. >I saw her for the follow up of that LEEP and repeated a pap in March. >The results of that pap were ASCUS. I treated her empirically with >Flagyl and had her follow up in June for a repeat pap and got the >results originally described. >the result did not state whether inflammatory reaction or dysplasia >favored. > >I am considering re-colpo and biopsy vs just repeating a pap in 3 >months. >Would anyone do anything different given the HPV in the ECC? thanks in >advance. > >Miles E Mahan MD FACOG >Houston, Tx >MahanMD@earthlink.net Next message: Douglas Krell: "Re: Odd forceps once again" Previous message: Braun, R. Daniel: "Re: VBAC revisited" In reply to: Miles Mahan: "Re: peated abnormal pap"

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