Dr. Steven R. Goldstein - Obgyn in Manhattan warns on precancerous lesions

 

Doctor Steven R. Goldstein MD is a leading Obgyn in Manhattan warns on diagnoses from gynecologists about precancerous lesions in the cervix.

 The typical scenario is one where a mother brings her young daughter to Dr Goldstein’s office because she has had a markedly abnormal pap smear done elsewhere and has been told that she needs a LEEP procedure, which is somewhat destructive in that it removes a portion of the cervix. This LEEP procedure would triple her risk of preterm birth and incompetent cervix (a cervical insufficiency) when she does decide to have children.

 While it is appropriate to do such a procedure for high-grade abnormal Pap smears, Dr Goldstein likes to have the pathology specimens re-reviewed by a very skilled pathologist, like the ones at GYN Pathology here at NYU and look at them with him over a two-headed microscope. About 80% of the time the NYU pathologist will end up showing Dr Goldstein the area that this other pathologist thought was highly abnormal. The NYU pathologist is able to downgrade this to mildly abnormal or just atypical, thus allowing the young patient who hasn’t had her children yet to avoid any surgical intervention.

 Most physicians do not have pathology specimens re-reviewed, especially when these are sent to large commercial labs like Quest or National Health Laboratories. This is especially important if one is going to undertake a serious surgical procedure (like a total mastectomy or a LEEP of the cervix) for a “precancerous” lesion.

 Dr Steven R. Goldstein is a top Obgyn in NYC and ovarian cancer screening specialist who screens his patients twice annually for ovarian and cervical cancer. If you have been told you have a precancerous lesion and need a LEEP procedure, see Dr Goldstein for a second opinion and evaluation.