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Re: Adenocarcinoma on pap From: D. Ashley Hill, M.D. (anonymous@obgyn.net) Fri, 16 Oct 1998 10:23:19 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Caro: "BCP: benefits vs risk for premenopausal women" Previous message: Suzanne: "Re: Drs.? Shoulder Dystocia during birth - chance of happening" In reply to: M: "Adenocarcinoma on pap" At Thu, 15 Oct 1998, M wrote: > >I recently had a ap smear showing possible adenocarcinoma in situ, but >*large* cone biosy was clear. This is an *extremely* complex subject to handle over the Internet, but I can offer you some general information. The cone biopsy was the correct procedure to evaluate such a frightening Pap smear. Since a large cone was clear, it is very doubtful that there is cervical adenocarcinoma. However, you will need frequent follow-up exams (for example, every 3-6 months) for awhile to make sure it does not come back, then Paps every 6-12 months(every patient is different so this is a general guideline). If you are done with childbearing, some would advocate a vaginal hysterectomy to increase the odds of complete resolution, but even then you would need Pap smears on a regular basis of the upper vagina. If there is any doubt that endometrial cells were the culprit on the Pap, most doctors would suggest a hysteroscopic biopsy, or, at least, a D&C. In general, a negative cone is a great sign. With appropriate follow-up this almost always turns out fine. Best of luck, -- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://home.mpinet.net/dahmd The above is intended for general medical education, and is not for specific medical advice. I apologize, but I am unable to answer personal e-mail due to time constraints. Next message: Caro: "BCP: benefits vs risk for premenopausal women" Previous message: Suzanne: "Re: Drs.? Shoulder Dystocia during birth - chance of happening" In reply to: M: "Adenocarcinoma on pap"

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