WOMENS-HEALTH Messages for January, 2002: Re: CIN II-III

Re: CIN II-III

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 2 Jan 2002 18:49:38 -0600 (CST)

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At Wed, 2 Jan 2002, anonymous@obgyn.net wrote: >
>I'm a healthy 51 y/o, P3 G7, no family hx cancer.
>After two CIN II-III paps (confirmed by colo and biopsy) and two LEEPs, my
>gyn has nothing to offer except hysterectomy if I have another abnormal pap.
>I find it rather ridiculous to have major surgery to remove an organ that,
>while showing abnormalities, is not diseased. What are the odds of 1)missing
>a lesion that is inaccessible to pap/LEEP 2)actually developing cancer at
>some point (where are statistics and sources)? - how much risk on the
>gamble!?
>Any other suggestions than prophylactic hysterectomy? THANKS!!!

It has been suggested that excluding cervical dysplasia caused by a virus, that mild cervical dysplasia left untreated, will progress to invasive cancer in approximately 7 years. With viral influence, that course has been noted to be shortened to as little as one year. Your cervix is indeed diseased in that CIN II and III describes abnormal cells. I truly understand your concern regarding major surgery, but at the age of 51, why carry around the potential risk when a simple vag. hyst can rid you of the issue forever... 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 ;-)

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