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Re: Gyn: Adenocarcinoma in situ of the cervixFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Apr 8 19:03:48 2008
At Tue, 8 Apr 2008, Garry E. Siegel, M.D. wrote: > >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?
Provera, Mirena, hyst if she wants one, or Continue as is, some would
argue PAP's Q 3years. I am old fashion and would reccomend Q yearly,
because its the best way not to lose her in follow up.
>
--
Take care, John
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