Re: AGUS

From: R. Daniel Braun (rd.braun@gmail.com)
Thu Apr 28 20:04:03 2005


Cone followed by hyst if no cancer.

On 4/28/05, Joanne Bulley, MD <islesannie@yahoo.com> wrote: > 48 yo G0 s/p Cryosurgery of cervix prior to 1993. (presume CIN)
> VIN 3 (carcinoma in situ) of vulva at posterior introitus excised 1998.
> Vulvar coploscopies normal since then.
>
> Pap 3/04 AGUS (possible adenocarcinoma in situ)
> LEEP (cervical stenosis from cryo precluded any office evaluation)
> path: CIN 1 - mild dysplasia with severe cervicitis, comparison with Pap
> confirms the same cellular characterisics were present.
>
> Pap 10/04 ASCUS negative for high risk HPV subtypes.
>
> Pap 3/05 AGUS.
>
> Colposcopy - unable to see SCJ. Endocervical curette would not pass
> through stenotic cervix. Endocervical specimen taken with endocervical
> brush.
>
> Pathology pending.
>
> Of course the next step will depend somewhat on the patology, but, what
> do you think you would do next?
>
> Joanne
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>

--
R. Daniel Braun
       Kinky for Governor




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