|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: abnormal pap in pregnancyFrom: Marco A. Pelosi, III, MD (marcop@tao.agoron.com)Fri Oct 3 12:29:28 1997
At Fri, 3 Oct 1997, tien le wrote: > >30 yo G2P1 at 34 week gestation with no previous prenatal care. >Screening PAP showed adenocarcinoma cells X2 all reviewed by good >cytopathologists. >Colposcopy and pelvic exam showed no abnormalities with normal cervical >appearance and consistency. ECC showed poorly differentiated adenoca >cells. >Any suggestions for management ? >She also want to have vaginal delivery if possible. > Step One: Forget about vaginal delivery. Step Two: Section her in Allen stirrups before the goes into labor. Leave the belly open. Step Three: Immediate cone biopsy. Step Four: If cone hemostasis is difficult, tie off the uterines from above, close the abdominal incision and wait for final pathology in a couple of days. Piece of cake. Bon Appetit!
-- M.A. Pelosi, III, MD
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:24:50 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.