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Re: LEEP and HGSILFrom: ATFSOCCER@aol.comTue Nov 11 21:36:48 1997
In a message dated 97-11-08 10:57:34 EST, you write: << However, I have had several patients with HGSIL paps that end up having only CIN I on biopsy and require only close f/u. Personally, I prefer to have a tissue diagnosis prior to definitive treatment, but can certainly understand some clinicians use of the "see and treat" method. Miles Mahan Maj. MD Dept. Of OB/GYN >> Miles, If you are off by more than 1 grade on your tissue diagnosis verses the pap screen would you not be concerned that you are missing a higher grade lesion? I would think that you would be obligated to do a cold knife conization or leep cone to adequately rule out a potentially worse lesion. Andy Folley MD Toledo, Ohio
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