Re: abnormal pap in pregnancy

From: Bernard Cristalli (bcrist@club-internet.fr)
Sat Oct 4 01:22:33 1997


ATFSOCCER@aol.com wrote: >
> 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????
--

You see Andy we quite fully agree on this one. I won't use any IUPC either there ;-)).

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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