Re: Gyn: Adenocarcinoma in situ of the cervix

From: 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. >
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
                                 Take care, John




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 Dec 2 04:56:05 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.