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Re: AGUS From: Andrew Folley (agfolley@hotmail.com) Fri Apr 29 12:32:06 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: AGUS" Previous message: Richard Chudacoff, MD: "Re: AGUS" In reply to: Joanne Bulley, MD: "AGUS" Next in thread: Henry Gregor: "Re: AGUS" AGUS is much more concerning than ASCUS. In light of difficulty is adequately assessing the cervix encocervis and uterus I would proceed to LEEP coniaztion if office (or hospital) with endocervial curetagge and endometrial sampling. Andy >From: islesannie@yahoo.com (Joanne Bulley, MD) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: AGUS >Date: Thu, 28 Apr 2005 16:35:46 -0500 > >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. Vaginal >hysterectomy if posbbile would not be overkill unless she had some other >significan GYN problems going on to justify it. doing nothing or contiuced >paps does not seem a prudent course of action with her history. LEEP will >settle the question and direct future course of action. >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 Next message: Henry Gregor: "Re: AGUS" Previous message: Richard Chudacoff, MD: "Re: AGUS" In reply to: Joanne Bulley, MD: "AGUS" Next in thread: Henry Gregor: "Re: AGUS"

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