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Re: abnormal pap in pregnancyFrom: 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???? --
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