Re: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Apr 26 19:54:54 2004


Not sure what the 'book' says, but high risk is high risk and I would screen her until the negative pap matches the negative HPV results

--
Richard Chudacoff, MD

I will never be an old man. To me, old age is always 15 years older than I am.

Francis Bacon

Imagination was given to man to compensate him for what he is not; a sense of humor to console him for what he is. Francis Bacon -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, April 26, 2004 7:25 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Cervical Cancer Screening with ThinPrep and High Risk HPV DNA

Dear all:

I'm stumped on finding the answer to this one, although I know that it is out there somewhere.

Primary screening can be done every 3 years with liquid cytology and HPV DNA testing, at age 30 and beyond.

What does one do if the pap is normal but she is HPV positive???

29 YO P0 is in for a routine pap, and due basically to a clerical error (either we checked the wrong box on the lab form, or the lab messed up), she had:

Negative liquid cytology Positive HPV high risk DNA

I can't find managment for this anywhere, alhtough I find a couple of places that suggest that "guidelines need to be developed."

Note againt that this was routine screening with a normal pap.

Garry

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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