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Re: Treatment for HPV-related Cervical Cells -- Laser v. other means

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 10 Jul 2002 13:07:44 -0500 (CDT)


At Wed, 10 Jul 2002, anonymous@obgyn.net wrote: >
>I am going in for a cone biopsy. I have had a leep, and I still have
>high-grade cells on the cervix. My diagnosis is somewhat different in
>that I have Atypical Glandular Cells of Undetermined Significance (AGUS)
>v. the squamous cell abnormality. I have 2 questions:
>
>1. I am going to be getting a scalpel biopsy cause the Dr. wants to
>have the tissue to test. She says that this is just as effective as
>laser. I'm just wondering if there is any information on laser
>effectiveness v. cold scalpel? as some folks I have spoken with who had
>cervical cancer found laser the most effective treatment. Any help is
>greatly appreciated.

Major difference is that there is no tissue sample with laser and laser costs a WHOLE lot more.

>
>2. If it does not completely eradicate the cells, can I then do laser,
>or is the only next step hysterectomy?

The source of the atypicality needs to be found first. With AGCUS, the endocervix needs to be evaluated and so does the endometrium. I hope your Doctor is going to do a hysteroscopy and D&C at the same time as the conization.

Once the source of the abnormal cells is detected treatment can be planned.

--
R.Daniel Braun, MD  FACOG   FOG
**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.

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**Thank you for your understanding ;-)

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