Re: Positive margins on a LEEP

From: R. Daniel Braun (rd.braun@gmail.com)
Tue Oct 30 08:01:22 2007


Vag hyst. Then you can design the cuff to include all the lesion. You can colposcope and see where the lesion is, then you can mark an adequate margin around it. Let's see you dothat with a TLH.

Dan

PS At lest 2 studies in literature that did cones then 6 weeks later did hyst. The presence or absence of persistence in the hyst specimen had no relationship to presence or absence of positive margins on the cone.

Dan

On 10/29/07, Richard Chudacoff <rchudacoff@mylinuxisp.com> wrote: >
> TVH, TLH
>
> Richard Chudacoff, MD, FACOG
> Las Vegas International Center for Advanced Gynecologic Care
> (Specializing in minimally and non-invasive surgery)
> 2481 Professional Court
> Las Vegas, NV 89128
> TEL: 702-485-8893
> FAX: 702-974-0945
>
> http://www.lasvegasgyncenter.com
> http://www.exablateoflasvegas.com
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
> Siegel, M.D.
> Sent: Monday, October 29, 2007 6:17 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Gyn: Positive margins on a LEEP
>
> 33 YO P2002 S/P TL, originally came in for dysmenorrhea and dyspareunia.
>
> Her intial exam was normal, but her pap was HGSIL. Directed biopsies at
> satisfactory colposcopy showed moderate dysplasia.
>
> LEEP in the OR--CIS with positive endo and ectocervical margins, and
> extensive glandular involvement.
>
> What's next?
>
> Garry
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941





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