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Complex hyperplasiaFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Thu Aug 18 19:35:48 2005
62 yo patient with 2 month of cyclic bleeding q2wks. On Prempro 0.625/2.5 for six years and amenorrheic until two months ago. Sonogram showed a 4mm endometrial stripe, endometrial biopsy was negative. Hysteroscopic endometrial resection and ablation performed. The endometrium had patches of erythema - suggestive of chronic endometritis but not found on the pathology, no polyps, small cavity - 8cm uterus. Pathology showed features "suggestive of adenomyosis and a focus of complex hyperplasia w/o atypia." She is planning to stop the HRT. Any other F/U suggested? If she bleeds again, I would recommend a hysterectomy. I feel she has been adequately treated with the resection and ablation, does anyone feel differently.
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