smalley
Forum Elite
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hello every1
kaplan says that if pap smear comes as lsil, u should repeat pap in 3 to 6 months
bp says to have colposcopy an cervical biopsies for the same
which one to follow?
thanks
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But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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| sprint123
Forum Guru
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Posts: 870
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I think we have to confirm the PAPS smear finding by colposcopy....and if we could see the entire lesion with the transformation zone, we could follow up with repeat PAPS smear in 3-6 months. IF we are not able to see the transfrmation zone, then we should go in for LASER and cryosurgery.
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| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
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If PAP smear shows LSIL, do a Colposcopy and Biopsy.
Biopsy will show HPV, mild dysplasia or CIN I.
Compare the PAP (Cytology) to the Biopsy (Histology)...
IFcytology is worse than biopsy, then we missed something......SO in this case do a Cone Biopsy.
For LSIL (CIN I), you can do any of the following:
-Repeat Pap in 6-12 months
-Colposcopy and repeat Pap in 12 months
OR
-HPV DNA testing in 12 months
OR you can be more agressive and even use ablative or excisional procedures,
BUT if you choose this option, then you have to follow up repeat pap smears, colposcopy and pap smear ,or HPV DNA testing every 4-6 months for 2 years.
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| arlete
Intern in 2009!!!!!
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Good question!
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| hero
Forum Guru
Topics: 40
Posts: 533
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ASCUS - is there is a choice to answer HPV DNA typing - pick that
it is in lec 5 GYN
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| smalley
Forum Elite
Topics: 54
Posts: 297
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thanks every1
___________________
But they that wait upon the LORD shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint-Isaiah 40:31
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