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Re: CauterizationFrom: Dr Antonio Valdez (avaldez@infolnk.net)Wed May 22 21:39:43 1996
At 06:45 PM 5/22/96 -0500, you wrote: >DEar listers > >I am not sure if this word exists, cauterization, but I mean, when we burn >something to heal the lesion. Any way, my question is: > >Lots of ObGyn burn normal ectopic tissue in the cervix claiming that t is a >wound that must be healed before it become a cancer (according to patient's >information), others say that it might be an etilogic factor for deep >dispareunia. I have seen a lot of ectopy in the cervix, I perform pap + colpo, >if things are OK, I do nothing, if the patient has no complains, I do nothing >as well. Am I doing the proper thing? Is ectopy a cause for deep dispareunia? >If the patient has a increased vaginal discharge in these circunstances, would >not be better to insure the patient and wait, instead of burning? > >Thanks > >Ricardo Savaris, MD,MSc, Febrasgo >savaris@vortex.ufrgs.br >Porto Alegre- Brazil > Ricardo: I have the same problem with my patients with cervical ectopia, because they received a lot of bad information about this problem (cancer precursor????) with the economic purpose to apply excesive treatment for that reason, even an hysterectomy!!! Cervical ectopia is a benign transformation of the external cervical epitelium from plane to cilindric and is a normal finding in some situacions like pregnancy, postpartum, hormonal treatment and the frecuency is to high ( 15-85% depends the report) that is not elegyble for treatment. But in some patients, cervical ectopia is associated with chronic and profusse leucorrea, and with postcoital bleeding. So I do the same like you. If the patient is asymptomatic and the ectopia is not so big, I do nothing, and Im sure we are not wrong. And if the patient have some symptoms and the ectopia is big, I treat it. Of course we have to make a diferential diagnosis with cervical cancer and an exofitic cervical condyloma, and make a PAP + Colpo. And I prefered to treat it with cryotherapy than "cauterization" because the first produce a controled 2-3 mm deep lesion.
--
Antonio Valdez-Torres MD FACOG
Hospital Guernika
Cd Juarez, Chihuahua, Mexico (...surviving the crisis...)
E-mail : avaldez@infolink.net
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