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Re: Gyn: Microinvasive Ca of Cervix From: Andrew Folley (agfolley@hotmail.com) Fri Apr 8 14:30:21 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Microinvasive Ca of Cervix" Previous message: Andrew Folley: "Re: FFN blind testing" In reply to: R. Daniel Braun: "Re: Gyn: Microinvasive Ca of Cervix" Next in thread: Efrain Ramirez: "Re: Gyn: Microinvasive Ca of Cervix" Reply: Efrain Ramirez: "Re: Gyn: Microinvasive Ca of Cervix" I think I would be going with a hysterectomy in this 40 yo with micorivasion of cone (providing there was no lymphatic or vascular involvement) LAVH or vaginal if technically feasible. The patient would have to be highly motivated to risk trying to cocienve over the next 2 years in light of that history. andy >From: "R. Daniel Braun" <rd.braun@gmail.com> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Re: Gyn: Microinvasive Ca of Cervix >Date: Fri, 8 Apr 2005 13:17:33 -0500 > >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: Richard Chudacoff, MD: "Re: Microinvasive Ca of Cervix" Previous message: Andrew Folley: "Re: FFN blind testing" In reply to: R. Daniel Braun: "Re: Gyn: Microinvasive Ca of Cervix" Next in thread: Efrain Ramirez: "Re: Gyn: Microinvasive Ca of Cervix" Reply: Efrain Ramirez: "Re: Gyn: Microinvasive Ca of Cervix"

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