Re: residual dysplasia

From: Larry Glazerman (l.glazerman@rcn.com)
Wed Dec 31 10:27:45 2003


I'd choose #3. Often, removing the bulk of disease will let the immune system resolve the rest.

--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
larry.glazerman@lvh.com

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Charlie Chambers Sent: Wednesday, December 31, 2003 11:17 AM To: Multiple recipients of list OB-GYN-L Subject: residual dysplasia

Suggestions on F/U regarding this patient sent to me today.

Multiparous patient with HGSIL several years ago, and was lost to F/U. Had LEEP done last month at another office with multiple margins (endo and ecto) that are positive. She wants to keep her uterus in order to have more chldren. What would others do?

1. another LEEP 2. cold knife cone 3. recolpo and ECC at 6-8 weeks

BTW, I examined her yesterday because of bleeding. The prior LEEP was huge. Looks like one of those "cowboy hat" excisions with a wide loop then a narrow deep loop done.

************************************************************************

*

--
Charlie Chambers
Hood River, OR
cchamber@alumni.rice.edu

"No matter where you go... there you are." Dr. Buckaroo Banzai ************************************************************************





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