WOMENS-HEALTH Messages for February, 2001: Re: carcinoma in situ scare

Re: carcinoma in situ scare

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 22 Feb 2001 12:23:05 -0600 (CST)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: R. Daniel Braun, MD: "Re: Please help.....abnormal spotting !"
Previous message: R. Daniel Braun, MD: "Re: menopause over, why estrogen now?"
In reply to: peggy: "carcinoma in situ scare"

At Thu, 22 Feb 2001, peggy wrote: >
>Hi. I am 48 years old, just had cin 3/carcinoma in situ
>diagnosed by colposcopy and 2nd pap. First pap came back
>AGUS. I am having a cold cone next week. Any stats on
>percent of positive/negative margines? On colpo. I also had
>complete cervix involvement with lugols stain, and about 2/3
>with acetic acid. Believe it or not, I am a nurse in an
>OB-Gyn office. I know the stats are in my favor, but I am
>scared spitless!
>Thanks

Positive and negative margins mean NOTHING. A recent (2-3years ago) study looked at all women who had CIS on a cold knife cone aand then had a hysterectomy 3 months later. As many patients with negative margins had persistent CIS at the time of the hyst as did those with positive margins. The reverse was also true. As many with negative had persistence as wioth positive margins.

IOW margins didn't matter. This is the first time it was studied. In the past someone said "Well if the margins are positive you didn't get it all so it will persiist." That obvious intuition hasn't held true after study.

--
R. Daniel Braun, MD FACOG  FOG

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.

Next message: R. Daniel Braun, MD: "Re: Please help.....abnormal spotting !"
Previous message: R. Daniel Braun, MD: "Re: menopause over, why estrogen now?"
In reply to: peggy: "carcinoma in situ scare"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: