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Re: Dysplasia ...... and a surpriseFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Fri Aug 29 22:37:34 1997
> >There is no way to assure ourselves that all the high grade CIN is >gone. In someone of this age group who has already been treated twice >(!) with cryo, definitive gynecologic surgery is indicated. > >If the surgeons are going to make a big incision anyway, go ahead and do >the hysterectomy/BSO at the time of their APR with you going first. It >should take you 30-45 minutes (assuming no prior surgeries/adhesions). > >Don't leave dysplasia in a difficult to follow previously treated 53 >year old if you can help it! > >Hugo > >-- >Hugo D. Ribot Jr., M.D., FACOG >Cartersville Ob/Gyn Associates >Cartersville, GA USA >Private Collaborative Practice > I agree with Hugo, but would add that a cold knife cone with Frozen section to r/o invasion at the beginning of the procedure would be appropriate. Garry
-- Garry E. Siegel, M.D., FACOG Private Practice Roswell, Ga.
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