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Re: AtypicalFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Thu Mar 29 17:00:56 2007
Agree absolutely. An endometrial thickness of 8mm is too much and with a negative Pipelle the next step is hysteroscopy as Rafael has said. 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 6:25 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Atypical Ultrasound showed an 8mm endometrium before the EMB in the first place. Would there be any benefit of repeating the EMB just a month after the first, given the lack of a good diagnosis. If I get tissue again, it would have to be D&C wouldn't you agree? Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Thursday, March 29, 2007 1:57 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Atypical 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 CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.
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