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Re: Ascus management question From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Jul 31 22:38:19 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Gyn: HRT" Previous message: Efrain Ramirez: "Re: Ascus management question" In reply to: Efrain Ramirez: "Re: Ascus management question" Agree with all (Joanne said it nicely, if I remember correctly). LEEP to exclude cancer, and TVH if needed. Congratulations to Joanne. Garry At Thu, 31 Jul 2008, Efrain Ramirez wrote: > >LEEP > >Ef > >At Thu, 31 Jul 2008, ENDODOK@aol.com wrote: >> >>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 >> > >-- >"I can accept failure, but I can't accept not trying." - Michael Jordan > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Gyn: HRT" Previous message: Efrain Ramirez: "Re: Ascus management question" In reply to: Efrain Ramirez: "Re: Ascus management question"

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