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Re: Gyn: ACS-US, HR HPV positive papFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Feb 14 04:21:48 2007
At Tue, 13 Feb 2007, Garry E. Siegel, M.D. wrote: > >37 YO P3003 at her 6 week PP visit from a vaginal delivery. > >She had a LEEP done years ago--no records, and she doesn't know the >degree of dysplasia, and her paps have been normal since. > >At the initial Ob visit, she had an ASC-US, HPV high-risk positive pap, >and no further evaluation occurred. > >Would you colpo now? > >Would you wait for the pap and then decide? > >Other? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > Gary if you don't have the leep and Pap smear pathalogy in your hands I would do a colpo; I just did a vag hyst in a 74 y.o. who had had a leep about a decade earlier, colpo was difficult because the cervical stomp was not well exposed but what I thought was HGSIL did indeed turn out to be carcinoma in situ.
--
Take care, John
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