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Re: Adenocarcinoma in situ of the cervixFrom: ainsron (ainsron@sbcglobal.net)Tue Apr 8 15:49:00 2008
I would offer a hysterectomy again. If you are getting dysplasia on the ECC, there is still something going on in that cervical canal that can't be treated without removing it. I don't think another LEEP is worth wasting your time/money on. It's pretty easy to miss adeno-CIS on a biopsy and margins aren't definitive. If she keeps her uterus, she is playing craps with her life. Personally, even though I grew up in Nevada, I am not a gambler. Ronald E. Ainsworth, MD, FACOG -----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 10:05 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
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