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Re: Inflammatory Pap From: rbraun@champion.iupui.edu Fri Oct 31 14:30:13 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marco A. Pelosi, III, MD: "Re: Inflammatory Pap" Previous message: Robert J Woolley: "Inflammatory Pap" In reply to: Robert J Woolley: "Inflammatory Pap" Next in thread: Marco A. Pelosi, III, MD: "Re: Inflammatory Pap" I would do a wet prep and if positive, treat the infection. If negative. do an annual pap. If the pathologist thought there was any possibility at all of any kind of dysplastic lesion, he would have invoked the GODDESS. That is right ASCUS. Since he didn't, I'll bet you are OK. If you are worried at all, call the pathologist and ask him what the hell he is talking about when he says inflammation. -- R. Daniel Braun, MD On Fri, 31 Oct 1997, Robert J Woolley wrote: > Case for your collective wisdom: > > 28 year-old medical student, completely asymptomatic throughout the events > below, married and monogamous now (though I didn't ask about previous # of > partners). Assume her to be reliable for whatever follow-up you recommend. > > 5/95: Routine Pap, normal. > > 4/96: Pap with reading "atypical benign (020); Bethesda system--benign > pathology", with comment "Inflammation." No treatment instituted. Advised > follow-up > in 6 months to repeat. > > 12/96: Pap with precisely the same reading as before. > > QUESTION #1: Would you recommend, at this point: > > A) Colposcopy > B) Empiric treatment of some sort > C) Repeat Pap in 1 year > D) Repeat Pap sooner (e.g., 4-6 months) > > ? > > I chose D. Which gets us to: > > 4/97: Normal Pap. > > QUESTION #2: > > Would you now continue more frequent Paps, revert to annual schedule, or > do something else? > > (Disclaimer: My medical director is disagreeing with my recommendation > after the second "inflammation" pap--thinks colposcopy should have been > done then. I obviously disagree, but I doubt that either of us can point > to any hard data to support our positions.) > Next message: Marco A. Pelosi, III, MD: "Re: Inflammatory Pap" Previous message: Robert J Woolley: "Inflammatory Pap" In reply to: Robert J Woolley: "Inflammatory Pap" Next in thread: Marco A. Pelosi, III, MD: "Re: Inflammatory Pap"

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