Re: CIN III
For more information on symptoms and treatment of endometriosis visit www.EndometriosisZONE.org.
From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 29 Nov 2000 14:41:35 -0600 (CST)
If I found these results on a LEEP, first I would go over the options
with the patient in a sit down meeting. Second, I personally would
repeat the colposcopy and see if the area that I biopsied was still
present. Another option would be to simply repeat the coloposcopy in
3-4 months. I don't think that simply repeating the pap is sufficient
enough...
Lynn
At Wed, 29 Nov 2000, Rach wrote:
>
>At Wed, 29 Nov 2000, Lynn D. Montgomery, MD wrote:
>>
>>At Wed, 29 Nov 2000, Rach wrote:
>>>
>>>In August, I went to have a pap. It came back LGSIL.
>>>Then I had a coloposcopy and biopsy done. That came back showing CIN
>>>III/severe dysplasia. So then in September I had a LEEP done and that
>>>came back showing no evidence of dysplasia. I am so confused and
>>>scared. I soon will go back for another pap smear. Do you think that
>>>will come back showing severe dysplasia or cancer?
>>
>>Rach,
>>When you have significant disparity between the pap and biopsy results
>>and the ultimate biopsy-in this case, the LEEP, then you have either one
>>of two things: Either the colposcopically directed biopsies removed all
>>of the dysplastic cells, or the LEEP did not get the lesion it was
>>supposed to get. I would be more concerned it was the later. It would
>>be wise to have close follow-up from this point, for I fear that the
>>lesion defined by the biopsies may have been missed by the LEEP...
>>Lynn
>>
>Do you think I think I should go back to the doctor sooner? I am worried
>that this will be cancer if I wait. My appointment is next month. I
>don't think I can wait or do you think I should call the doctor?
>>
>>--
>>Lynn D. Montgomery, MD
>>Director, Maternal-Fetal Medicine
>>Rocky Mountain Perinatal Center
>>Missoula, Montana
>>
>>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>>
>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>
>>**Thank you for your understanding ;-)
>>
--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana
**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
**Thank you for your understanding ;-)
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)