Re: Dysplasia in unusual patient

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Mar 17 22:42:02 1998


William F. von Almen, II, MD, FACOG wrote: >
> Dear fellow listers:
> His patient was a 20-ish year old severely handicapped female with Downs
> Syndrome. She was having some abnormal vaginal bleeding, and he performed
> a "pap" on her (really just used a q-tip to sample her as she was very
> difficult to examine. The pap returned with lgsil.
> The patient was so difficult to examine, that ...
--

Bill,

LGSIL or mild dysplasia may be "followed-up" with another pap in 6 months. Let's wait something more serious to treat. And then? Cone biopsy or more? BTW how did she get this lesion? and contraception...

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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