Re: abnormal pap in pregnancy

From: A.C. (A.C.Evans@m.cc.utah.edu)
Mon Oct 6 11:16:08 1997


On Sat, 4 Oct 1997 22:23:45 -0500, ATFSOCCER@aol.com wrote:

>In a message dated 97-10-04 04:04:08 EDT, you write:

>
> Amnio
> - if mature, CKC, frozen section
> -if invasive, Cesarean rad hyst/nodes
> -if equivocal, await permanent, if invasive, as above
> -if in situ, margins negative, NSD, hyst in 4-6 wks
>
> - if immature, wait until 35 to 36 weeks, then plan as above

>
>AC
>
>Assuming that she has stage 1 disease, of course?
>I would suggest as well, that if the permanent is CIS that you could offer
>another
>option besides hysterectomy. That being SVD with repeat pap and colposcopy
>and ECC in 6 weeks to check for a "cure".
>
>Andy Folley MD FACOG
>Toledo OH

I would assume that a lesion that is only detectable by Pap smear would be a stage 1. With CIS, I would still push for hysterectomy because of the high recurrence rates following CKC (up to about 40% in some studies).

A.C. Evans, M.D., Ph.D. Division of Gynecologic Oncology Univ. of Utah, Salt Lake City (801) 581-7640 A.C.Evans@m.cc.utah.edu acevans@hsc.utah.edu





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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 05:24:51 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.