ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:(null)0="http://www.w3.org/TR/REC-html40"><head><title>Rocky Mountain OB-GYN .::. Riverton, Wyoming</title> <meta content="text/html; charset=unicode" http-equiv="Content-Type"> <meta name="description" content=""> <meta name="keywords" content=""> <script language="JavaScript" type="text/javascript"> <!-- function clickmail(domain,mailto) { var url = "mailto:" + mailto + "@" + domain; self.location.href = url; return; } //--> </script> <link rel="stylesheet" type="text/css" href="styles.css"> <meta name="GENERATOR" content="Microsoft FrontPage 5.0"> </head> <body> <!-- DHTML Menu Builder Loader Code START --> <div style="POSITION: absolute" id="dmbri"> <img name="dmbif" alt="" src="layout/dmb_i.gif" width="1" height="1"> <img name="dmbjs" alt="" src="layout/dmb_m.gif" width="1" height="1"> </div> <!-- <script type="text/javascript"> var rimPath=null;var rjsPath=null;var rPath2Root=null;function InitRelCode(){var iImg;var jImg;var tObj;if(!document.layers){iImg=document.images['dmbif'];jImg=document.images['dmbjs'];tObj=jImg;}else{tObj=document.layers['dmbri'];if(tObj){iImg=tObj.document.images['dmbif'];jImg=tObj.document.images['dmbjs'];}}if(!tObj){window.setTimeout("InitRelCode()",700);return false;}rimPath=_gp(iImg.src);rjsPath=_gp(jImg.src);rPath2Root=rjsPath+"../";return true;}function _purl(u){return xrep(xrep(u,"%%REP%%",rPath2Root),"\\","/");}function _fip(img){if(img.src.indexOf("%%REL%%")!=-1) img.src=rimPath+img.src.split("%%REL%%")[1];return img.src;}function _gp(p){return p.substr(0,p.lastIndexOf("/")+1);}function xrep(s,f,n){if(s) s=s.split(f).join(n);return s;}InitRelCode(); </script> <script type="text/javascript"> /* <![CDATA[ */function LoadMenus() {if(!rjsPath){window.setTimeout("LoadMenus()", 10);return false;}var navVer = navigator.appVersion; if(navVer.substr(0,3) >= 4) if((navigator.appName=="Netscape") && (parseInt(navigator.appVersion)==4)) { document.write('<' + 'script type="text/javascript" src="' + rjsPath + 'nsmenu.js"><\/script\>'); } else { document.write('<' + 'script type="text/javascript" src="' + rjsPath + 'iemenu.js"><\/script\>'); }return true;}LoadMenus();/* ]]> */</script> DHTML Menu Builder Loader Code END --> <div align="center"> <table border="0" cellspacing="0" cellpadding="0" width="800"> <tbody> <tr> <td height="171" valign="top" width="424" align="left"> <img id="MenuSpacer" name=MenuSpacer alt=MenuSpacer src="layout/spacer.gif" width=413 height=64><img border=0 alt="Rocky Mountain OB-GYN" src="layout/logo.jpg" useMap=#Map align="left" width="339" height="77"></td> <td height="171" valign="top" width="376" align="left" bgcolor="#8DB2CD"> <p align="center"><br> <font size="5" face="Verdana"><br> <font color="#005591">NEXT STEPS<br> AFTER COLPOSCOPY &amp;<br> BIOPSY</font></font></td> </tr></tbody></table> <table class="body-table-right-bottom" border="0" cellspacing="0" cellpadding="0" width=800 height="403"> <tbody> <tr> <td valign="top" background="layout/body-bg-left.jpg" width="8" align="left" bgcolor="#A75F5F" height="403"> <img alt="Rocky Mountain OBGYN" src="layout/body-top-left.jpg" width="8" height="27"><img alt="Rocky Mountain OBGYN" src="layout/spacer.gif" width=8 height=400></td> <td class="body-bg" valign="top" colspan="2" align="left" height="403"> <table border="0" cellspacing="0" cellpadding="10" width="790"> <tbody> <tr> <td valign="top" align="left" width="427" colspan="2" bgcolor="#C9DAE7"> <font face="Arial">What is CIN?&nbsp; It stands for &quot;<b>C</b>ervical <b>I</b>ntraepithelial <b>N</b>eoplasia&quot;, a medical term that means pre-cancerous change in the tissue.&nbsp; Although there are other factors, the depth of involvement generally determines whether a biopsy is graded 1, 2 or 3, with 3 being &quot;full thickness.&quot;</font><p> <font face="Arial">In the adjacent picture, there are abnormal cells extending from the &quot;basement membrane&quot; (maroon lines) all the way to the surface (note the black line).&nbsp; This is an example of CIN 3.</font></td> <td valign="top" width="323" align="left" bgcolor="#FFCCCC"> <p align="center"> <img border="0" src="images/CIN-3-label.JPG" width="228" height="175"></td></tr> <tr> <td valign="top" align="left" width="427" colspan="2"> <p><font face="Arial">Pap smear is repeated at 6 and 12 months, or HPV-DNA test only may be done at 12 months. </font></td> <td valign="top" width="323" align="left" bgcolor="#C9DAE7"> <p align="center"><font size="5" face="Arial">RESULT: NO CIN</font></td></tr> <tr> <td valign="top" align="left" width="427" colspan="2" bgcolor="#C9DAE7"> <font face="Arial">For women under 20 years of age, the pap is repeated at 12 months.&nbsp; If, when repeated then, it is less than HGSIL, there's yet another repeat at 12 months.</font><p> <font face="Arial">For women 20 or over, Pap smear is repeated at 6 and 12 months, or HPV-DNA test only is repeated at 12 months. If Pap is abnormal or HPV test is positive, colposcopy is repeated.</font></td> <td valign="top" width="323" align="left"> <p align="center"><font size="4" face="Arial"><br> <br> </font><b><font face="Arial" size="5">RESULT: CIN 1</font></b></td></tr> <tr> <td valign="top" align="left" width="427" colspan="2"> <font face="Arial">For women under 20 years of age, observation without treatment is preferable, but the decision rests with the doctor and patient.</font><p><font face="Arial">For women 20 or over, treatment is preferred and can be a LEEP, laser or cryotherapy.&nbsp; LEEP or Cone Biopsy is recommended if the colposcopy did not show the transformation zone.</font></td> <td valign="top" width="323" align="left" bgcolor="#C9DAE7"> <p align="center">&nbsp;</p> <p align="center"><b><font size="5" face="Arial">&nbsp;RESULT: CIN 2</font></b></td></tr> <tr> <td valign="top" align="left" width="375" bgcolor="#C9DAE7"> <font face="Arial">For all non-pregnant women, treatment is recommended with LEEP, laser or cryosurgery.</font></td> <td valign="top" align="left" width="375" colspan="2"> <p align="center"><font face="Arial"><font size="5"><b>RESULT: CIN 3</b> </font>&nbsp;&nbsp; </font></td> </tr> <tr> <td valign="top" align="left" width="375" bgcolor="#FFCCCC"> <p align="center"> <a target="_blank" href="http://www.acog.org/publications/patient_education/bp110.cfm"> Link to ACOG Information about LEEP Procedure</a>&nbsp; <a target="_blank" href="http://www.acog.org/publications/patient_education/sp110.cfm"> (Spanish)</a></td> <td valign="top" align="left" width="375" colspan="2" bgcolor="#FFCCCC"> <p align="center"> <a target="_blank" href="http://www.asccp.org/pdfs/patient_edu/cone_biopsy2.pdf"> Link to ASCCP Information about Cone Biopsy</a></td> </tr> <tr> <td valign="top" align="left" width="750" colspan="3" bgcolor="#FFCCCC"> <p align="center"><font face="Arial" size="4"> <a href="pap-central.htm">Return to Pap Smear Central</a></font></td> </tr> </tbody></table></td></tr></tbody></table> <table border="0" cellspacing="0" cellpadding="0" width="798"> <tbody> <tr> <td colspan="3" align="middle"><br><br><a href="./"><span class=footer-links>HOME</span></a> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <span class=footer-links>:</span> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <a href="practiceareas.aspx"><span class="footer-links">PRACTICE AREAS</span></a> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <span class=footer-links>:</span> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <a href="Staff.aspx"><span class="footer-links">STAFF</span></a> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <span class=footer-links>:</span> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <a href="ResourcesLinks.aspx"><span class=footer-links>RESOURCES/LINKS</span></a> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <span class=footer-links>:</span> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp; <a href="ContactUs.aspx"><span class="footer-links">CONTACT US<br><br></span></a></td></tr> <tr> <td valign="top" align="left"> <p class="footer-text">1035 Rose Lane, Suite B &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Riverton, Wyoming, 82501 </p> <p class="footer-text">307.856.0382 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="javascript:clickmail('rockymountainobg.com','info')"><span class=footer-text>Email</span></a></p></td> <td valign="top" align="middle">&nbsp;</td> <td valign="top" align="right"> <p class="footer-text">© copyright Rocky Mountain OB-GYN</p> <p class="footer-text">Site designed by <a href="http://www.webwright.com" target=_blank><span class="footer-text">The Webwright</span></a></p></td></tr></tbody></table></div><map id="Map" name=Map><area href="javascript:clickmail('rockymountainobg.com','info')" shape=rect coords=371,79,407,97> <area title="Back to Home Page" href="default.aspx" shape="default"> <area title="Back to Home Page" href="default.aspx" coords="0, 0, 10000, 10000" shape="rect"> </map><!-- DMB Highlight START --> <script language="JavaScript">dmbHighlightTBItem(1, 'STAFF');</script> <!-- DMB Highlight END --></body></html>