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Re: Gyn: Microinvasive Ca of Cervix From: R. Daniel Braun (rd.braun@gmail.com) Fri Apr 8 13:15:52 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Granulation post hyst" Previous message: Gerald P. Rodríguez: "Re: Granulation post hyst" In reply to: Joanne Bulley, MD: "Gyn: Microinvasive Ca of Cervix" Next in thread: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix" Reply: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix" On Apr 8, 2005 11:58 AM, Joanne Bulley, MD <islesannie@yahoo.com> wrote: > 40yo G0 - infertility, blocked tubes with some element of PCOS. one > adopted child, 4 yo > > Paps: > 95 - ASCUS > 96, 97 - normal > 98 ASCUS > 99 normal > (the above not in my office) (some years without paps after that) > 2004 - normal > 2005 ASC-cann't rule out high grade dysplasia > 2005 colpo - invasive Squamous Cell ca -- unable to assess invison > Cone (cold knife) 1.5 mm invasion. > > 1. What would you do? Oncology consult probably followed by TAH for microinvasive cancer. > > 2. My guess is that if we had done the Reflex HPV back in 95 &/0r 98 > she probably would have been positive for the High Risk HPV ... would > this have changed any management and would we have found this earlier? Maybe?????????? > > 3. The "normal" in 2004 (if she had had normals in 2000, 2001, 2002, > and 2003) would have "qualified" her for less frequent paps by the > recent Pap recommendations! I'll bet they wouldn't have been, but I agree with you. > > The is reinforces my "just do 'em yearly" ... th eonly low risk patient > being the virgin. > > Joanne > > -- > Joanne Bulley, MD > Keene, NH, USA > -- R. Daniel Braun Kinky for Governor Next message: R. Daniel Braun: "Re: Granulation post hyst" Previous message: Gerald P. Rodríguez: "Re: Granulation post hyst" In reply to: Joanne Bulley, MD: "Gyn: Microinvasive Ca of Cervix" Next in thread: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix" Reply: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix"

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