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Re: Inflammatory Pap From: John Robertson (jgmr@unixg.ubc.ca) Fri Oct 31 19:24:17 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ATFSOCCER@aol.com: "Re: Laparoscopic appendectomy" Previous message: Daniel Gutman: "Re: Estriol as HRT???" Maybe in reply to: Robert J Woolley: "Inflammatory Pap" At 05:48 PM 10/31/97 -0600, you wrote: >If we have to do anything about a Pap smear that only states "benign >inflammatory changes", then we are all in trouble. Has anyone ever done a >cervical biopsy that did not report "cervicitis"? Leukocytes are present on >all Pap smears done in the luteal phase of the cycle. I would >conservatively estimate that our cyto-pathologists report inflammation or >benighn inflammatory changes on over 50% of all Paps. If this woman is a >non-smoker, no history of HPV, monogamous presently, and otherwise low >risk, I would only do annual Pap smears. BTW, I thought our Canadian >brethren only did Paps every three years. Ron > I basically agree with you that pap smears read as benign (with whatever other verbage they wish to add) should in fact be treated as benign. However after 2 or 3 of these, doing a colposcopy may make it easier for everyone to accept annual pap smears if/when the biopsy results come back normal. WRT the last sentence. The recommendations vary depending on the catchment. In areas where large volumes are done by a single lab, every 2 years is considered reasonable. Where each small lab is doing a small part of the work load yearly paps are recommended. In B.C. all paps for the Province (pop over 3 million) are read in one lab at the B.C. Cancer agency. It stands to reason that their expertise in detecting abnormal paps would be higher (and it is), therefore there are fewer false negatives, and the screening interval can be longer. This is not true in the other Provinces, and I don't believe there are any labs in the States with that big a population base. Therefore I would not recommend longer screening intervals in other settings. J.G.M. Robertson MD, 109-9181 Main St. Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988, Fax 793-9987 e-mail jgmr@unixg.ubc.ca Next message: ATFSOCCER@aol.com: "Re: Laparoscopic appendectomy" Previous message: Daniel Gutman: "Re: Estriol as HRT???" Maybe in reply to: Robert J Woolley: "Inflammatory Pap"

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