WOMENS-HEALTH Messages for April, 2000: Re: Abnormal Pap - How Do You Follow Closely? (Dr. McIntosh, Etc.)

Re: Abnormal Pap - How Do You Follow Closely? (Dr. McIntosh, Etc.)

From: anonymous@obgyn.net
Tue, 4 Apr 2000 09:32:27 -0500 (CDT)

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In reply to: Mary: "Abnormal Pap - How Do You Follow Closely? (Dr. McIntosh, Etc.)"

At Tue, 4 Apr 2000, Mary wrote: >
>Dr. McIntosh stated - You can follow the patient closely without going
>that far (hysterectomy) if given a thorough workup and no discernable
>pathology, even though a recurrent AGUS pap is very concerning.
>
>I was relieved to hear that. If a recurrent AGUS pap occurs, exactly
>what tests or things need to be done to monitor the patient? (I hope
>mine don't reoccur but I want to have the necessary knowledge if they
>do) since I do not want a hysterectomy if I can avoid one.

Assuming a complete (and negative) evaluation at the beginning, I would want a pap smear (including endocervical component) every 4 months, along with an endometrial biopsy, for one year. If all are negative, then I would return to yearly screenings. If the AGUS recurs, I would repeat the original workup, along with a LEEP or cone biopsy, and manage what I found (and leave it alone if I don't find anything).

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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