Re: Atypical Endocervical Cells

From: Myer S. Bornstein (mborn@massmed.org)
Fri May 14 09:30:51 1999


We present our cases such as these to the tumor board at our tertiary hospital. After the pathologist re-reviewed the slide it was felt to be invasive and was treated as a stage 2 with werthaim hyst. Myer
--
Myer S. Bornstein, M.D., CPE, FACOG
Director Department of Obstetrics and Gynecology
Morton Hospital and Medical Center
Taunton, MA 02780

mborn@massmed.org U.S. Representative Massachusetts OBGYN.NET

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Diane Hibbs, DO Sent: May 13, 1999 21:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Atypical Endocervical Cells

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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