WOMENS-HEALTH Messages for October, 2001: Re: Severe dysplasia, positive margins... need second opinion

Re: Severe dysplasia, positive margins... need second opinion

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 30 Oct 2001 19:46:03 -0600 (CST)

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In reply to: Fiore: "Severe dysplasia, positive margins... need second opinion"

At Tue, 30 Oct 2001, Fiore wrote: >
>I am 29, do not have kids, do not smoke, and have just had a LEEP. It
>came back with severe dysplasia and positive margins. My gyn recommends
>to wait 3-4 months and see what the next two pap's will be like, but she
>also suggested getting a second opinion. I am worried because my first
>abnormal pap was only a year and a half ago, with low SIL, and it has
>progressed to high SIL, moderate dysplasia (in colpo) and now this. Is
>it safe to wait? What if future pap's keep being abnormal? What are my
>options? Thanks so much in advance.

I would wait. Even with positive margins, LEEPs have a very high cure rate, not like the old CKC (cold knife cone), and your only alternative is to have another LEEP right away, which raises your risks of having a complication without actually improving your cure rate very much. It is the intensive surveillance that is going to keep you from getting cancer, not the success or partial failure of a specific proceedure.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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In reply to: Fiore: "Severe dysplasia, positive margins... need second opinion"

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