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Surgery for CIS Surgery for CIS

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Unread 12-06-2002, 01:20 PM
Surgery for CIS

I'm back again, hoping for some information.

I was diagnosed with CIS/high grade dysplasia - margins were not clear. I had a LEEP end of September and opted to get tested again in January before I made the decision for surgery.

As I am waiting and reading more on this site I have a big concern now that if it ends up I still have an issue, I will be going for the hysterectomy -- in that case I am undecided as to who should do the surgery. I am not thrilled with my doctor and have been trying to search for someone else. The gyn oncologist that I saw does not operate out of my hospital and it would be very inconvenient to travel to another for the surgery.

My concern is, if my or any gynecologist does the surgery versus a gyn oncologist, are they still trained to see other problems / issues as readily? I am reading more on this site that during the hysterectomy cancer was discovered. I am getting nervous that my regular gyn will not see what a gyn oncologist will?

Any thoughts / comments would be greatly appreciated. As my next doctors appt nears, I am once again getting nervous about my situation.

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Unread 12-06-2002, 02:12 PM
Surgery for CIS

Hi Nappy,

This is a hard one for me to comment on simply because I am so PRO GYN/Oncologist that I don't want to come off too militant. I have no doubt that many GYN's are able to do the job. In my case, my regular GYN was a well-respected Oncologist. My 80+ yo MIL was dx'd with uterine cancer at our local hospital but they sent her to the Oncologist at another hospital because she was high risk. I took her back and forth. When it came time for me go get started on yearly exams I called them. It was years before I had a problem, but when it did happen I knew I had the best.

In your case (altho I don't know the extent of the inconvenience) I'm thinking that if you have doubts now that those doubts may not go away even if you get the "all clear" after the may end up being worried for a long time after. You really want to have faith in your dr.

I'm sorry that you have to deal with this's scary enough just being pre-op!

Unread 12-06-2002, 02:19 PM
Surgery for CIS

Hi Nappy...

If you are looking for an answer to regular gyno vs oncologist gynocologist, I can honestly say, and it is my opinion, to go with the oncologist gyno. My regular doctor had always told me that if you want things done right the first time, go to the specialist. And the oncologist gyno. knows exactly what to look for and what to do.
Sorry you have to go thru surgery but the oncologist gyno is the way to go as far as I am concerned.
Keep in touch.
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Unread 12-06-2002, 03:45 PM
Surgery for CIS

s Nappy

I don't suspect you will get much support around here for an ob/gyn to do gyn cancer surgery. Too many ladies have been burnt and have ended up going back for a second surgery with a gyn oncologist surgeon. Sometimes I think it's all about making decisons that will cause the least regret in the future.
I myself, traveled to a neighboring state for my gyn onc surgeon. I consider it time well invested.
After all, we are deserving of the very best!!! That's why those specialists are there. Even if some ob/gyns feel differently. They are not the experts with gyn cancers.

Unread 12-06-2002, 07:17 PM
Surgery for CIS

Where in NY are you from. I am from NY too and might know a doctor or can ask my gyn/onc for a referral.
Unread 12-08-2002, 06:52 AM
Surgery for CIS

Hi Andydenise..
I am from Long Island, NY and have absolutely wonderful doctors at North Shore University Hospital in Manhasset. If you want any information, let me know.
Unread 12-09-2002, 06:47 AM
Surgery Option

Thank you so much for your replies. It confirmed what I suspected. I am in upper Westchester and really the importance of having a gyn oncologist do the surgery seems to outweigh the inconvenience of a longer trip for my husband to come visit me in the hospital. I am not too comfortable with my gynecologist anyway so this is kind of an easy decision. I am going to print these responses out for my husband so he better understands my decision -- and if he can't come visit me for one day of the 2 or 4 days in the hospital -- I will survive. It won't be the worst situation I have been through.

I TRULY, TRULY appreciate the fast response.

I think I know what I have to do now and who to contact. I do have names of oncologists that I can use. One better than the other. It will depend on availability I guess. But if anyone has suggestions, I am certainly open to a new referral.

Take care to all!!!!!
Unread 12-09-2002, 03:01 PM
Surgery for CIS

I highly recommend Dr. Dotino in Manhattan. (212) 888-TGFW. He is very professional, was listed as one of Manhattans best Gyn/onc and is a really good guy. It's worth the trip to Manhattan.

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