Re: Gyn: Recurrent dysplasia

From: Gordon Goldman (obgyndoc@swbell.net)
Mon Oct 30 21:21:00 2006


Garry,

I would do the same for this lady. Follow with Pap and confirmatory colpo annually. If not progressive, continue follow up. If SCZ not adequately seen and/or cervical lesion not seen, LEEP without regard to ECC.

Wouldn't you just know, I was at the ACOG District VII meeting when they won the series!!!!!

Gordon

On Oct 30, 2006, at 9:10 PM, Garry E. Siegel, M.D. wrote:

> 44, non-smoker, works out like a fiend (I see her at the gym--zilch
> body
> fat).
>
> Congrats on the Cardinals.
>
> 22--easy--follow her with paps and/or colposcopy.
>
> Garry
>
> At Mon, 30 Oct 2006, Gordon Goldman wrote:
>>
>> Garry,
>>
>> What is her age? Smoker and other life style issues?
>>
>> Let's make this more interesting. Age 22. Neg ECC and biopsy. AS-
>> CUS with H/risk HPV persists six months later. Now what?
>>
>> --
>> Gordon M. Goldman, M.D., FACOG
>> Private Practice, St. Louis, Missouri.
>>
>> On Oct 30, 2006, at 12:18 PM, Garry E. Siegel, M.D. wrote:
>>
>>> 44 YO P1001 with CIS excised fully (clear margins)by LEEP 1994.
>>>
>>> Paps normal for years.
>>>
>>> Recently, ACS-US, with positive HR HPV.
>>>
>>> Colposcopy adequate, ECC negative, biopsies CIN I.
>>>
>>> What would you do?
>>>
>>> Garry
>>>
>>> --
>>> Garry E. Siegel, M.D.
>>> Private Practice
>>> Roswell, GA
>>
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:05:05 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.