Re: Ascus management question

From: Dr Eberhard W Lisse (el@lisse.na)
Thu Jul 31 10:30:05 2008


Can anyone other then the dyslexic Indo-Texan please tell me what she needs her uterus for?

el

On 31 Jul 2008, at 16:21 , Gerald P. Rodríguez wrote:

> Yes, I would agree--she needs LEEP vs. conization--your choice.
>
> Gerald P. Rodríguez, M.D.
> Santa Fe

>> ----- Original Message -----
> From: ENDODOK@aol.com
> To: Multiple recipients of list OB-GYN-L
> Sent: Thursday, July 31, 2008 8:57 AM
> Subject: Ascus management question
>
> Have a 50 yr old postmenopausal clinic pt that I inherited
> when I took over as managing gynecologist in March. Over the last 4
> years she has had recurrent Ascus smears, with positive high risk
> HPV screen. A couple of years ago she did have a single Bx of CIN 1.
> Subsequent smears done every 4-6 months remain Ascus/ HRHPV pos.
> Colposcopy repeatedly neg for exocervical lesions. ECC not possible
> because of total cervical stenosis. No atypical glandular cells ever
> encountered. Clinic NP's and OB/GYN Director concerned that cervical
> canal not adequately assessed . They are inclined to proceed with
> LEEP/ cone bx.
> Apppreciate your comments.
>
> J. Glenn Bradley MD
>
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