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Re: AtypicalFrom: MP3 (marcop@agoron.net)Fri Mar 30 12:21:33 2007
Raymond Stephen wrote: > 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 >> > > 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. > A recent case started with a pap demonstrating atypical glandular cells, followed by colposcopy demonstrating atypical glandular cells on ECC, followed by D&C confirming atypical glandular cells (ECC only), with normal endometrium. Conization yielded microinvasive SCCA in a 45yo w/ previous normal paps.
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