Re: Adenocarcinoma in situ of the cervix

From: Richard Chudacoff (rchudacoff@mylinuxisp.com)
Tue Apr 8 12:11:03 2008


If it ain't broke, don't fix it. If ya can't fix it, don't break it. I wouldn't do anything different than what you are doing now....unless she really, really wants a hyst.

--
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

Assistant Professor Department of Obstetrics and Gynecology University of Nevada School of Medicine 2040 W. Charleston Blvd # 200 Las Vegas, Nevada 89102

http://www.lasvegasgyncenter.com

"Once we experience and feel this inter-dependence of all living beings, we will cease to hurt, humiliate, exploit and kill another. We will want to free all sentient beings from suffering. This is karuna, compassion, which in turn gives rise to the responsibility to create happiness and its causes for all." Suresh Jindal; Interdependence of All Living Beings; The Times of India (New Delhi); Nov 13, 2003. The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received the e-mail in error, please immediately notify the sender by return e-mail or phone and delete this e-mail. Thank you.

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Tuesday, April 08, 2008 10:04 AM To: Multiple recipients of list OB-GYN-L Subject: Gyn: Adenocarcinoma in situ of the cervix

46 YO P1001

In 2000, had adenocarcinoma in situ of the cervix and moderate dysplasia, with negative margins on LEEP. Hysterectomy advised but declined. Her paps have been normal since.

Recently, she had abnormal uterine bleeding and a biopsy was disordered/proliferative endometrium with a suggestion of a polyp. SIS showed a polyp.

At hysteroscopy, she indeed had a small polyp easily removed, and otherwise had a normal cervical canal and a normal uterine cavity.

Her pathology:

The polyp was indeed a polyp.

Endometrium proliferative.

ECC--mild dysplasia.

What's next?

Garry

--
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: Tue Sep 2 05:12:58 2008

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.