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Re: Confused!

From: Cheerios (anonymous@obgyn.net)
Wed, 30 Dec 1998 19:36:24 -0600 (CST)

At Wed, 30 Dec 1998, Don Shuwarger, M.D. wrote: >
>Andrea,
>
>AGUS (AGCUS) is even more worrisome than SIL or ASCUS. AGUS
>incorporates the range of changes from inflammation to adenocarcinoma in
>situ!
>HOPE I AM POSTING IN CORRECT PLACE - I TO AM CONFUSED -

I am having GI tests done as well as Pap smear and now the Doctor who had done the pap smear now wants an ultrasound of my uterus - - I started spotting after a surgical menopause (not female) - I did have a vaginal infection due to dryness My mom died of cervical cancer, and had single masectomy - and I get a little scared - - >The professors and texts tell us that if someone has an AGUS pap smear,
>and a negative colposcopy, that a **cone** biopsy is required to exclude
>adenocarcinoma of the endocervix/endocervical glands.
>
>This has exactly been my experience. I have patients whose adenoca of
>the endocervical glands were discovered by an AGCUS pap.
>
>Please don't delay the evaluation of this potentially problematic pap
>smear. The other possibility is to ask the laboratory that originally
>reported the AGCUS smear to review the slide again to be certain they
>are making the right call.
>
>Don
>
>--
>Don Shuwarger, M.D.
>obdoc@inmind.com
>

--
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