Re: 2 cases of AGUS

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Jun 28 15:34:51 2004


Endocervix..

At Mon, 28 Jun 2004, Braun, R. Daniel wrote: >
>I would lean toward further evaluation of endocervical canal in both
>(i.e. cone or LEEP) With AGUS, there is a 10% incidence of
>Adenocarcinoma-in-situ of the endocervical canal.
>
>Dan
>
>"Sound is like water. If you drill one hole in the wall the sound will
>leak right through."
>
>- JAY BRAUN, a band member by love, a soundproofer by necessity.
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of Lynn D. Montgomery, M.D.
> Sent: Monday, June 28, 2004 9:47 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: 2 cases of AGUS
>
> Listers,
> I have two cases of AGUS that have me somewhat stumped:
>
> First case
> 41 y.o. with AGUS on pap smear (thin prep). Colposcopy
>unremarkable and satisfactory, including vaginal walls. ECC and EMB
>negative. Examination normal. Where to now - do I get more aggressive
>with D&C, ovaries...
>
> Second case
> 35 y.o. presents for routine exam. Pap returns AGUS.
>Colposcopy reveals very small lesions in the posterior vaginal mucosa,
>under the cervix. Biopsy returns endometriosis. Patient totally
>asymptomatic. How do I treat or do I?
> Lynn
>
> Lynn D. Montgomery, M.D.
> Maternal-Fetal Medicine, OB/GYN
> 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

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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