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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)Sun Dec 9 05:51:03 2007
At Sat, 8 Dec 2007, Garry E. Siegel, M.D. wrote: > >45 YO P1001 > >Many years ago, had adenocarcinoma in situ and moderate dysplasia on a >LEEP, and refused hysterectomy. She has dilligently had paps twice >yearly, and they've been normal. > >Her recent pap was normal with endometrial cells, and I don't think that >she was menstrual (can't remember). > >What's next? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > Endometrial sampling, I would start with pipelle or like office sampling, I have seen a couple of papers in the last couple of years which showed what we all knew pick up is insignificant, but I still do it, all it takes is on case for it to be significant for that individual. Only way around this is for pathology report not to include statement of normal endometrial cells present on Pap smear.
--
Take care, John
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