Re: AGUS pap
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Apr 6 06:09:33 2006
Then LEEP with the narrow deep one - if she pushes for TAH I'll go along
if she is aware of risks, etc..
Ef
>At Thu, 6 Apr 2006, Garry E. Siegel, M.D. wrote:
>
>Colpo--inadequate with tiny os.
>ECC and endo biopsy done
>
>Local Gyn onc (and his partner) suggest LEEP pretty much regardless of
>results, unless the results are diagnostic, and strong consideration to
>hyst since her family is complete.
>
>Delightful, long standing patient who just had a friend die of Ovarian
>Cancer at a young age--she is terrified and was ready for a hysterectomy
>when I called her about the AGUS.
>
>Garry
>
>At Wed, 5 Apr 2006, D. Ashley Hill wrote:
>>
>>I would also suggest an endometrial biopsy if patient has any abnormal
>>bleeding or spotting.
>>
>>Ashley
>>D. Ashley Hill, Md
>>Orlando, FL
>>
>>At Wed, 5 Apr 2006, Laure wrote:
>>>
>>>Colposcoy and ECC. If they are negative and no AGUS "favor neoplasia"
>>>pap smear every six months till negative. Otherwise conization.
>>>The posibility of direct histerctomy must be informed if she prefer it.
>>>
>>>L. Folgar
>>>
>>>OBGYN County Hospital Melilla
>>>
>>>Spain
>>>
>>>-----Mensaje original-----
>>>De: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] En nombre de Garry E.
>>>Siegel, M.D.
>>>Enviado el: miércoles, 05 de abril de 2006 2:49
>>>Para: Multiple recipients of list OB-GYN-L
>>>Asunto: Gyn: AGUS pap
>>>
>>>Posted previously during the missing days:
>>>
>>>38 YO P2002 who has completed her family.
>>>
>>>Cryo--some type of dysplasia--around age 20, no records.
>>>
>>>Intermittently, has had atypical/reactive paps, maybe a colpo here and
>>>there--worst biopsy atypia.
>>>
>>>Due to LGSIL pap/worry, had a LEEP 11/05--mild dysplasia, clear margins.
>>>
>>>Her first postop pap was AGUS.
>>>
>>>Thoughts?
>>>
>>>Garry
>>>
>>>--
>>>Garry E. Siegel, M.D.
>>>Private Practice
>>>Roswell, GA
>>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
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