Re: Atypical

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Mar 28 18:54:28 2007


A pipelle sampling is a benign procedure, and so is an ultrasonically generated measurement of endometrial thickness.

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod, Darryl G Maj 48 MDOS/SGOBO Sent: Thursday, 29 March 2007 12:54 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Atypical

That's why I've asked my esteemed colleagues. I have read about hyperplasia and atypical hyperplasia but not atypical without hyperplasia.

She really doesn't want another tissue sampling if at all possible.

I don't want to put her in for a) more risk and b) a worse prognosis if she does have an undiagnosed cancer.

Glen

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe Cutchin Sent: Wednesday, March 28, 2007 3:28 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Atypical

For me this is an unusual reading in that the term "atypical" is used but not hyperplasia. I am uncomfortable with this and would get more tissue. Joe C

Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:

> 69 yo G2P2 with postmenopausal bleeding, not entirely known where the
> source was at first. Had a colonoscopy and cystoscopy prior to
getting to me. >
> EMB shows atypical glandular proliferation, no hyperplasia seen.
>
> Suggestions for treatment? The patient is not keen on medication or
> further biopsies and wants definitive treatment.
>
> Thanks,
>
> Glen

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