Re: sidual dysplasia
From: Charles Chambers (cchamber@gorge.net)
Wed Dec 31 19:49:10 2003
Sorry, if I failed to mention, but CIN 3 throughout.
BTW, interesting idea with the Aldara. Any evidence that this has
been successful in terms of dyplasia?
>---- Original Message ----
From: garrys@mindspring.com (Garry E. Siegel
To: ob-gyn-l@dns.obgyn.net
Subject: Re: sidual dysplasia
Date: Wed, 31 Dec 2003 20:19:07 -0600
>Also agree with #3, but did you say what degree the current pathology
>had (you said she had HGSIL years ago).
>
>BTW, and please correct me if I'm wrong:
>
>LGSIL and HGSIL are cytologic diagnoses.
>
>Dysplasia--mild, moderate, severe, or CIS, or CIN I, II, or III- are
>pathologic diagnoses.
>
>Is that correct?
>
>Garry
>
>At Wed, 31 Dec 2003, Joanne Bulley, MD wrote:
>>
>>I agree - #3
>>
>>I had a patient with CIS and positive margins that the gyn onc
>>recommended this approach.
>>
>>But as has been said - you have to somehow contract with her about
>>follow up - and the pursue her when/if she no-shows!
>>
>>Joanne
>>
>>At Wed, 31 Dec 2003, Lynn D. Montgomery, M.D. wrote:
>>>
>>>I agree with Larry, often times you get a resolution of the margins
>just
>>>because of the adjacent treatment. Given her desire to retain
>>>fertility, I would elect to follow - now the issue is her previous
>lack
>>>of follow-up and if you are suspicious of her doing the same thing
>>>again, then I might be more aggressive...
>>>Lynn
>>>
>>>P.S. Happy New Year Everyone.
>>>
>>>--
>>>Lynn D. Montgomery, M.D.
>>>Rocky Mountain Women's Health
>>>2835 Fort Missoula Rd., Suite 303
>>>Missoula, Montana, 59804
>>>406-549-0978
>>>fax 406-549-0987
>>>e-mail: apgar10@montanadsl.net
>>>
>>>-----Original Message-----
>>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Larry
>>>Glazerman
>>>Sent: Wednesday, December 31, 2003 10:28 AM
>>>To: Multiple recipients of list OB-GYN-L
>>>Subject: Re: residual dysplasia
>>>
>>>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
>>>*******************************************************************
>*****
>>>
>>>*******************************************************************
>*****
>>>*******************************************************************
>*****
>>>
>>--
>>Joanne Bulley, MD
>>Keene, NH, USA
>>
>>-----
>>Work to create peace everywhere you go and with everything you do.
>>-----
>>Let us accept truth, even when it surprises us and alters our views.
>>-George Sand
>>
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
