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Re: Appreciate your advice From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Wed Dec 29 08:32:05 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Failure Of Post From OB-GYN-L Web Page" Previous message: Joanne Bulley, MD: "Re: Dean's posts" In reply to: David Priver, MD: "Re: Appreciate your advice" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Appreciate your advice" Eventually, you will do a hysterectomy, IMHO. Might as well do it when she is healthiest, which is today, rather than any tomorrow given her endocrinology state. -- Richard Chudacoff, MD -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of David Priver, MD Sent: Tuesday, December 28, 2004 7:28 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Appreciate your advice I disagree with hysterectomy here, at least at this point. Halban's dictum had to do with atypical adenomatous hyperplasia which she does not have. I would do a sonohysterogram in the office; think there's a good likelihood she is bleeding from a benign endometrial polyp which can be easily removed hysteroscopically. DP At Tue, 28 Dec 2004, Efrain Ramirez wrote: > >Halban's dictum "nicht Karzinom, aber besser heraus" would apply here - >but I would not condemn someone wanting to do an hysteroscopy >first..IMHO > >>At Mon, 27 Dec 2004, ENDODOK@aol.com wrote: >> >>58 yr.old G2 P2, one year hx. menometrorrhagia. Endo Bx. simple hyperplasia, >>no atypia. UTZ uterus 5.7x 6.8x 10.9.cm. Cavity widened to 24 cm .Oblong >>inhomogeneous density 11mmx36mm (polyp?fibroid?carcinoma?). Endometrial lining >>posterior to this density 4-8 mm. Small fibroid anteriorly 7 mm. >> Had been treated by NP at an HMO with E/P, then Depoprovera, no >>improvement. Hb.10/HCT 32. Pt diabetic (HbA1c 8.6 / hypertensive. Weight 240.) Also >>has SUI. >> Was advised she needed a hysterectomy because of a premalignant lesion >>of the endometrium. >> >>Am considering the least traumatic Rx, via endometrial resection/ablation >>and TVT for SUI. >> >>Your thoughts?? >> >>J.Glenn Bradley MD > >-- >"The opposite of a correct statement is a false statement. >But the opposite of a profound truth may well be another profound truth." > >Niels Bohr (1885 - 1962) > Next message: Richard Chudacoff, MD: "Failure Of Post From OB-GYN-L Web Page" Previous message: Joanne Bulley, MD: "Re: Dean's posts" In reply to: David Priver, MD: "Re: Appreciate your advice" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Appreciate your advice"

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