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Re: CIN 3 in pregnancy From: Efrain Ramirez MD (eramirez@icepr.com) Thu Aug 26 18:41:24 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: James Brodribb: "Finasteride in pregnancy" Previous message: TheMorenos@aol.com: "scheduling software" In reply to: John Teo: "CIN 3 in pregnancy" Next in thread: Peter Wein: "Re: CIN 3 in pregnancy" Follow her with pap and colposcopy---no cryo--no LEEP while pregnant--you are dealing with premalignant lesions. After delivery they might "take a walk"... Good luck I also suggest looking those slides with your pathologist. Talking is "everything"... At Thu, 26 Aug 1999, John Teo wrote: > >I have a 37 years old patient Para 1 whose pap smear showed mild >dyskaryosis. A colposcopy showed some acetowhite areas and a cervical >biopsy was performed. Diathermy of the area was also performed in the >same sitting. >The biopsy result came back as CIN3. Unfortunately she is found to be >12 weeks pregnant. > >Any comments about the situation? >My plan now is to do colposcopic surveilliance during her pregnancy >making sure that there is no invasive features and then offer her LLETZ >post delivery. > >Questions >1) Does anybody agree with above? >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 >treatment I presume. Any comments? >3) Finally any place for less extensive treatment for CIN 3 other than >the commonly offered LLETZ or Cone biopsy? -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: James Brodribb: "Finasteride in pregnancy" Previous message: TheMorenos@aol.com: "scheduling software" In reply to: John Teo: "CIN 3 in pregnancy" Next in thread: Peter Wein: "Re: CIN 3 in pregnancy"

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