Re: Atypical Endocervical Cells

From: Diane Hibbs, DO (hibbs@twhc.net)
Thu May 13 20:39:01 1999


At Thu, 13 May 1999, Joanne Bulley wrote:

Any votes or recommendations for second (cold knife) cone prior to the hyst? >

If you had questionable margins before, and a pap (screening, not diagnostic test) now, are you comfortable with the diagnosis of adenocarcinoma IN SITU and convinced against invasive adenocarcinoma? If not, you may be performing a vaginal hysterectomy that should be a radical hysterectomy.

As I am studying for Boards this week, I know the correct answer is to do a CKC for the diagnosis, but I defer to the "experts" in private practice for the real-world answer.

--
Diane Hibbs, DO
OB/GYN
Tulsa, Oklahoma
http://twhc.net




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