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Re: Microinvasive Ca of Cervix From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Fri Apr 8 14:32:14 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Seele, Mona: "Re: FFN blind testing" Previous message: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix" In reply to: Joanne Bulley, MD: "Gyn: Microinvasive Ca of Cervix" Next in thread: R. Daniel Braun: "Re: Microinvasive Ca of Cervix" Reply: R. Daniel Braun: "Re: Microinvasive Ca of Cervix" Reply: Joanne Bulley, MD: "Re: Microinvasive Ca of Cervix" Refer to gyn onc, or perform a radical hysterectomy -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley, MD Sent: Friday, April 08, 2005 11:59 AM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Microinvasive Ca of Cervix 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? 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? 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! The is reinforces my "just do 'em yearly" ... th eonly low risk patient being the virgin. Joanne -- Joanne Bulley, MD Keene, NH, USA Next message: Seele, Mona: "Re: FFN blind testing" Previous message: Andrew Folley: "Re: Gyn: Microinvasive Ca of Cervix" In reply to: Joanne Bulley, MD: "Gyn: Microinvasive Ca of Cervix" Next in thread: R. Daniel Braun: "Re: Microinvasive Ca of Cervix" Reply: R. Daniel Braun: "Re: Microinvasive Ca of Cervix" Reply: Joanne Bulley, MD: "Re: Microinvasive Ca of Cervix"

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