Re: Hysterectomy for severe dysplasia

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Hope this helps and write back anytime for more information.

HSM

At Wed, 18 Jul 2001, Karen wrote: >
>I'm posting an original question and response to which I have one
>follow-up question. What determines microinvasive presence referened in
>the response? The lab report references no invasion in the specimen, but
>I'm unclear as to the difference in terms. I'm 42 and children are no
>longer a consideration, but have had no other gynecological complaints,
>just the abnormal pap.
>Thanks again for your help.
>
>--
>Karen
>
><<<No, hysterectomy is not usually recommended in your case. If there
>is persistant recurrence or microinvasion, yes, then a hysterectomy
>might be appropriate. Age and future pregnancy wishes are a major
>factor as well. More frequent PAPs are conventional follow up. >>>
>
>At Mon, 16 Jul 2001, Karen wrote: >
>>After undergoing a cone biosy for Grade III dyplasia, the lab report
>>showed carcinoma in-situ with no invasion, a high grade squamous
>>intraepithelial lesion. The dysplasia did not extend to the margins of
>>the biopsied specimen.
>>
>>Despite clear margins, my doctor is recommending hysterectomy as a
>>preventive measure. I tend to get somewhat emotionally attached to my
>>internal body parts, and hate to give them up unless absolutely
>>necessary. I plan on seeking a second opinion and am wondering what the
>>opinion on this forum might be. Is hysterectomy a typical treatment for
>>this level of involvement? Am I risking more than I'm gaining by taking
>>a wait and see approach with more frequent Paps? Thanks so much for your
>>
>--
>Karen
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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