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Re: CIN 3 in pregnancyFrom: Ronald E. Ainsworth (ainsron@msn.com)Thu Aug 26 10:10:03 1999
>Questions >1) Does anybody agree with above?
With CIN3, I would have opted for cone or LEEP procedure, rather than a
destructive procedure, such as Cryo or Diathermy.
>2) Assuming that she is not pregnant, does anybody think that diathermy is an adequate treatment? I would have thought that it may not be adequate as you may not be sure of the depth of the lesion you destroy and even the extent of it with the concept of field change. Therefore excision method such as LLETZ would be more appropriate follow up With CIN3, I would have opted for cone or LEEP procedure, rather than a destructive procedure, such as Cryo or Diathermy. I have also never been a fan of the "see and treat" method. I want to know what I am treating before I do it. Since you have already treated her, I think that close surveilance (paps every three months) during her pregnancy and afterward would be adequate at this point.
-- Ronald E. Ainsworth, MD, FACOG Paradise, CA, Private Practice 20 yrs.
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