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Re: ASCUS/ Positive HPV in elderlyFrom: Kathleen Griffin, M.D. (kgrif@cox.net)Thu Mar 27 19:26:33 2008
At Thu, 27 Mar 2008, Kathleen Griffin, M.D. wrote: > >I have an 80 year old patient who had hematuria and her PMD did a Pap >smear, which came back ASCUS, endocervical cells absent, positive for >high risk HPV by Digene Hybrid Capture II testing. A repeat test was >also positive. >Her entire lifetime her Pap smears were always normal, and her last >sexual activity was 10 years ago. >She is taking "natural" compounded HRT. >Could this be false positive? Is it indicated to do colposcopy? > >-- >Kathleen Griffin, M.D. > I guess what I find ironic is the fact that per new guidelines, this 80 year old shouldn't have had a Pap smear done at all, and now I am obligated to colposcope her ad nauseum if she has persistent abnormal Paps and persistent HPV, even though she is extremely unlikely to get cervical cancer.
-- Kathleen Griffin, M.D.
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