WOMENS-HEALTH Messages for March, 2001: Re: 1ST TIME - ATYPICAL, HYPERKERATOSIS, KERATINIZAING DYSPLASIA possible

Re: 1ST TIME - ATYPICAL, HYPERKERATOSIS, KERATINIZAING DYSPLASIA possible

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 22 Mar 2001 09:40:15 -0600 (CST)

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In reply to: PAT: "1ST TIME - ATYPICAL, HYPERKERATOSIS, KERATINIZAING DYSPLASIA possible"

At Thu, 22 Mar 2001, PAT wrote: >
>I have learned a great deal in the last several days reading replies.
>Hope someone can suggest, specifically, what to do next?
>
>51 yr old, no major health problems, annual exam( menopausal 5 yrs )
>All prior Pap tests have been normal.
>Physical exam normal.
>Ultrsounds of kidneys & pelvic for backache last summer. Both NORMAL.
>
>Diagnosis:
>
>Satisfactory but limited by absence of an endocervical component.
>Atypical squamous cells of undetermined significance. Favor dysplasia
>
>Hyperkeratosis
>
>Comment: A keratinizing dysplasia is a possibility.
>
>Read many other combinations but not exactly what the above states. I
>understand ASCUS is the abbreviation of the above and definitions
>individually for the other descriptive words. But I would like to
>understand the overall diagnosis better so I can make an "intelligent
>decision" on future treatment. Immediate? 6 months? etc.
>
>I thank you in advance for your concern and insight.

If you are not on estrogen replacement then this one is easy. Start estrogen replacement and repeat the pap in 3-6 months. If you are currently on estrogen replacement, I would perform a colposcopy to obtain the diagnosis-currently all you have is a pap smear result which is just an impression of some cells... Lynn

--
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 ;-)

Next message: charles: "fertility"
Previous message: Lynn D. Montgomery, MD: "Re: Pelvic CT results"
In reply to: PAT: "1ST TIME - ATYPICAL, HYPERKERATOSIS, KERATINIZAING DYSPLASIA possible"

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