
Flowers of the bloodroot plant, Sanguinaria canadensis
I first wrote about
escharotic treatment for cervical dysplasia in 2015. A caustic substance is applied to the cervix. This produces an uncontrolled chemical burn and the dead tissue sloughs off, hopefully taking the abnormal cells with it. The standard treatment for cervical dysplasia is excision by cone biopsy or LEEP (Loop Electrocautery Excision Procedure). Escharotic treatment has not been proven as effective as excision, and it has several drawbacks. It requires multiple visits, is not covered by insurance, and the biggest problem is that there is no tissue sample to send to pathology to see whether abnormal cells remain.
It was easy to predict that eventually some patients would develop invasive disease that might have been prevented by conventional treatment. That prediction has proven correct.I wrote about Nicholas LeRoy in 2016. A chiropractor, he offered escharotic treatments along with other dubious treatments. In
an update a year later, I reported that his license had been revoked and that he had been practicing without a license, and had continued to offer escharotic treatments.
Patients report disastrous results and liesA concerned correspondent who follows the Inspire message board passed on information posted by one of LeRoy's patients. She first saw him
after he had lost his license. After 12 escharotic treatments, she thought she was cured. But a month later, a biopsy and ECC (endocervical curettage) done elsewhere showed adenocarcinoma in situ. This should have been a wake-up call; but instead, she went back to LeRoy and had 8 more escharotic treatments. Another endocervical biopsy again showed cancer in the cervical canal. She then had a cone biopsy, but the margins were not clear. Her (real) doctors told her that
the delay in treatment had allowed the cancer to spread to her uterus and she will require a radical hysterectomy. One can only hope that the hysterectomy will be curative; but if the cancer has spread beyond the uterus, she may not only lose her uterus but her life. This unfortunate outcome would almost certainly have been avoided if she had agreed to standard excisional treatment in the first place.
Comment: Read more from Dr. Gary Null: