WOMENS-HEALTH Messages for February, 2003: Re: Carncinoma in situ

Re: Carncinoma in situ

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 11 Feb 2003 09:44:46 -0600 (CST)

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Previous message: William McIntosh, MD: "Re: no subject received Tue, 11 Feb 2003 08:48:32 -0600"
In reply to: Kimberly: "Carncinoma in situ"

At Tue, 11 Feb 2003, Kimberly wrote: >
>I would just like to see what anybody else has to say about my pathology
>report. I would like to know if YOU were the patient what your next
>step of treatment would be for yourself. I am a 26 year old mother of
>two and undecided about having anymore children
>
>A. Tissue, superior cervix
> 1.Severe dyslasia/carcinoma in situ, CIN III
> 2. Extension to endocervical margin of biopsy
> 3. Focus of high grade endocervical glandular dysplasia
>B. Tissue, inferior cervix:Severe dyslasia/carcinoma in situ, CIN III,
>with extension into endocervix margin of excision.
>C. Endocervical curettings: Focus of severe dyslasia, CIN III, with
>endocervical margin of excision negative for deplasia.
>
>Thank you for your time!

You need a repeat cone biopsy, with an ECC as well. If this original specimen was from a LEEP, there could be an argument made to wait, repeat a pap and colpo in 4 months, and hope for the best, but that is not the way I would want my mother/sister/wife/daughter treated. Likewise, I would not jump directly to hysterectomy, as a complete diagnosis has not yet been made for certain.

-- 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.

Next message: BP: "infection or mid cycle discharge?"
Previous message: William McIntosh, MD: "Re: no subject received Tue, 11 Feb 2003 08:48:32 -0600"
In reply to: Kimberly: "Carncinoma in situ"

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