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Re: abnormal pap in pregnancyFrom: ATFSOCCER@aol.comFri Oct 3 20:13:49 1997
In a message dated 97-10-03 13:04:45 EDT, you write:
<< 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.
>> Interesting case, What about scheduling her for an amnio in two weeks for fetal maturity and if mature doing a cold knife conization under spinal anesthesia. If adenoca present on frozen section doing a c-section. If negative wait several days for final report and if no invasion confirmed plan for natural birth???? Andy Folley MD FACOG
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