Re: 19mm endometrial stripe : follow up
From: Efrain Ramirez (eramirezt@coqui.net)
Mon Jan 3 16:00:04 2005
I almost always try to do the EMB first - then
Hysterosonogram/Hysteroscopy.. but your thought process = mine..
>At Mon, 3 Jan 2005, Richard Chudacoff, MD wrote:
>
>Personally I do an EMB and SSHG for abnormal bleeding in a patient over 35
>yo. Usually the SSHG first. If positive then I do hysteroscopy for the
>abnormality. If SSHG is not available, I'd biopsy first, then do
>hysteroscopy. Why? I think that gross CA on EMB would be sufficient to
>proceed to other procedures rather than h-scope.
>
>--
>Richard Chudacoff, MD
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain
>Ramirez
>Sent: Monday, January 03, 2005 10:22 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: 19mm endometrial stripe : follow up
>
>Of course not --but I think it should be considered as an early step in
>the evaluation of endometrial abnormlaties in US or otherwise -
>
>>At Mon, 3 Jan 2005, art fougner, md wrote:
>>
>>EB is not as good in the diagnosis of polyps.
>>
>>art
>>
>>At Mon, 3 Jan 2005, Efrain Ramirez wrote:
>>>
>>>Office EMB is sooooo easy and lacks almost any complications - the
>>>diagnostic yoeld is very good - why not do it?
>>>
>>>>At Mon, 3 Jan 2005, Henry Gregor wrote:
>>>>
>>>>Agree, we're all just sharing opinions. I still think tissue needs
>assessment prior to therapy, and while doing a transvaginal endo assessment
>is quick and easy to perform, with about as low a learning curve as could be
>found amongst any list of things to gain skill in, I don't feel comfortable
>with the thought of putting too much weight on the endosono assessment
>picture. Correlations between endo thickness and appearance and ultimate
>histology vary so much over the map that journal reports on their meaning
>seem to have become a cottage industry onto itself..
>>>>
>>>>Hank
>>>>
>>>>"art fougner, md" <evsono@pipeline.com> wrote:
>>>>becomes less of an issue as residency programs graduate folk skilled in
>>>>the use of the vaginal transducer.
>>>>
>>>>just my opinion - i could be wrong.
>>>>
>>>>art
>>>
>>>--
>>>"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)
>>>
>>--
>>art fougner, md
>>May the Joy of this Holiday Season Be with You
>>and Yours throughout the New Year.
>>
>--
>"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)
>
--
"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)
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