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humera
Joined: 08 Aug 2006
Posts: 27
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 Posted: Thu Mar 08, 2007 7:03 pm Post subject: Colposcopy guideline |
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Hi Nick,
It will b a great help if u can give the link of colposcopy guideline which keep on mentioning important for theory as well as OSCE.
Humera. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Fri Mar 09, 2007 8:36 am Post subject: |
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Hi humera
It has been in the 'useful website' Forum for a long time. November of last year to be precise 
Click here to see the thread and associated links.
I'll leave this thread open as well because you are quite right that this is a better place to discuss the Guideline.
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997
Last edited by Nick Raine-Fenning on Sun Mar 11, 2007 12:57 pm; edited 1 time in total |
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humera
Joined: 08 Aug 2006
Posts: 27
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| Posted: Sat Mar 10, 2007 10:59 pm Post subject: |
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Thank you nick, sorry did not searched properly before asking you. I knew i have seen it some where and read it but lost it. Thanks for the link.
Humera. |
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drhatta
Joined: 20 Feb 2007
Posts: 32
Location: Malaysia
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| Posted: Sat Jul 28, 2007 7:12 am Post subject: |
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| Quote: | | CIN extending to the margins at excision results in higher incidence of recurrence but does not justify repeat excision as long as no evidence of glandular abnormality or invasion or under 50 years |
Meaning: if the margins post excision biopsy were not cleared, she need not go for a another colposcopic directed excision biopsy to complete the margins?  |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Sat Jul 28, 2007 11:57 am Post subject: |
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that's right, as long as there is no glandular element to the tissue and the patient is under 50 yrs of age, we do not need to repeat the cone.
in our unit we call them for 6 monthly colpo + smear for 2 years, if these remain normal then yearly smear with the GP.
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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drhatta
Joined: 20 Feb 2007
Posts: 32
Location: Malaysia
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| Posted: Sun Jul 29, 2007 1:29 am Post subject: |
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Even if its CIN 2 or 3?
Colposcopy for 6 months there after and smear at the same time? for 2 years? What does the guideline say? |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Sun Jul 29, 2007 1:01 pm Post subject: |
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this is a quote from the BSCCP guideline
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women treated with high grade disease (CIN 2, CIN 3, cGIN) require6 and 12 month follow-up cytology and annual cytology for the
subsequent nine years at least, before returning to screening at the
routine interval (high risk follow-up)
women treated for low grade disease require 6, 12 and 24 month
follow-up cytology. If all results are negative, then women may be
returned to screening at the routine interval (low risk follow-up). |
| Quote: | | All women who do not have negative test results after treatment must be recolposcoped at least once within 12 months (100%). |
so if high grade i.e. CIN 2/3 -- smear + colpo atleast once in first 1 yr.
they need yearly smears untill 10 completed years.
in our unit we see high grade lesions 6 monthly for colpo + smear untill 2 years. ( stick to the guidelines though for the exam ).
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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