Re: Gyn: Endometrial Cells on pap

From: art fougner, md (evsono@pipeline.com)
Sun Dec 9 06:13:13 2007


Endometrial sampling seems a reasonable next step.

Art

At Sun, 9 Dec 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>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
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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