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Re: cervical cancer follow up

From: Douglas (anonymous@obgyn.net)
Wed, 26 Mar 1997 19:54:03 -0600 (CST)

At Mon, 24 Mar 1997, Karen wrote: >
>I have a 24 yr old student who just had surgery for cervical cancer 2
>wks ago by an ob/gyn.

Karen,

Wow! There is a lot of misconception out there about this kind of surgery! Your student did NOT have cancer. She had a pre-cancerous lesion; one which COULD have become cancer under certain circumstances, but was likely NOT CANCER. The treatment for cervical CANCER is RADICAL surgery or radiation. These precancerous conditions are called by a variety of names: Dysplasia and Carcinoma-in-situ are two commonly used terms.

The usual care for patients who have undergone this kind of therapy is simple. Nothing in the vagina for 2-4 weeks. Report any fever, pain, or persistant bleeding or discharge. Follow up PAP smear in 4-6 months and use condoms til then. 

--
Douglas Krell MD FACOG



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