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Re: Gyn: Endometrial Cells on papFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Mar 28 05:05:00 2007
At Tue, 27 Mar 2007, Garry E. Siegel, M.D. wrote: > >Listers: > >What is the proper follow-up for a pap with benign endometrial cells in >a 43 YO P2002 who was not menstruating or spotting? There was no >abnormality noted of the squamous component. > >I'll google this, too. The ACOG 2005 cytology Practice Bulletin didn't >mention this, or I missed it. > >Thanks, > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > If she is not menstruating for like 6 -12 months, she could have hyperplasia or worse so in this case I would say you have no choice but to sample. Lack of perioids in that age group is often just anovulation with associated proliferative endometrium but it could be worse. You good send her for FSH levels but if she is already in for consult.
--
Take care, John
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