Re: Dysplasia ...... and a surprise

From: Robert Brenner (robbrenner@earthlink.net)
Sun Aug 31 19:06:17 1997


At 07:35 PM 8/29/97 -0500, you wrote: >

>
>I have to disagree. This endocervical lesion could have explained the
>positive ECC and the abnormal pap smears.

Then can you be sure you got the endocervical lesion in its entirety.

>>

>
>I have heard this before from others, but I am confused. A LEEP is a
>cone. Why does performing the procedure with a knife make it better
>that with an electrical loop? My feeling is that doing A LEEP in the
>office is more cost effective than a cone in the hospital. I can't
>think of any situation where I would ever do a cold knife cone again...
>Is this wrong?

A cold knife conization goes deeper than a leep. Also, there is no cautery artifact so interpretation by the pathologist may be more accurate.

--
Robert Brenner MD FACOG
Baltimore MD
Robbrenner@earthlink.net




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