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Re: Gyn: Positive margins on a LEEP From: R. Daniel Braun (rd.braun@gmail.com) Tue Oct 30 08:07:45 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: HRT and vaginal bleeding" Previous message: R. Daniel Braun: "Re: HPV vaccine and resistance" In reply to: Douglas Krell: "Re: Gyn: Positive margins on a LEEP" Next in thread: Raymond Stephen: "Re: Gyn: Positive margins on a LEEP" Reply: Raymond Stephen: "Re: Gyn: Positive margins on a LEEP" Reply: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP" In my mind, this is one of those INDICATIONS for a vaginal approach. Dan On 10/30/07, Douglas Krell <dkrell@msn.com> wrote: > > Garry, > I agree hysterectomy would be fine and likely to be best for her given the > multiple complaints as well as the cervical disease. I think LAVH, TLH, > TAH > would give you a good > chance too evaluate everything. > Is her insurance company balking at this? > Douglas Krell MD > > >From: garrys@mindspring.com (Garry E. Siegel, M.D.) > >Reply-To: ob-gyn-l@obgyn.net > >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> > >Subject: Gyn: Positive margins on a LEEP > >Date: Mon, 29 Oct 2007 20:16:57 -0500 > > > >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 Next message: R. Daniel Braun: "Re: HRT and vaginal bleeding" Previous message: R. Daniel Braun: "Re: HPV vaccine and resistance" In reply to: Douglas Krell: "Re: Gyn: Positive margins on a LEEP" Next in thread: Raymond Stephen: "Re: Gyn: Positive margins on a LEEP" Reply: Raymond Stephen: "Re: Gyn: Positive margins on a LEEP" Reply: Joanne Bulley, MD: "Re: Gyn: Positive margins on a LEEP"

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