WOMENS-HEALTH Messages for June, 2000: Re: a few questions on endometrial problems/biopsy

Re: a few questions on endometrial problems/biopsy

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 1 Jun 2000 22:28:59 -0500 (CDT)

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In reply to: E: "a few questions on endometrial problems/biopsy"

At Thu, 1 Jun 2000, E wrote: >
>How reliable is endometrial biopsy in detecting polyps, cancer,
>fibroids, and hyperplasia? What if the biopsy misses the area with the
>lesion - how likely is this?

An endometrial biopsy will pick up 85-90% of all endometrial hyperplasias or cancers. For this reason, if bleeding after the biopsy continues, a repeat evaluation should be carried out. This might be Hysteroscopy.

Ultrasound is pretty good at picking up fibroids. A biopsy is not. A Saline Infusion Sonogram(SIS) is excellent for picking up polyps and submucosal fibroids as is hysteroscopy. Hysteroscopy usually needs an anesthetic and is usually done in the ambulatory surgery unit. Therefore ultrasound is less expensive.

RDB

>
>What is the best method for diagnosing and treating endometrial polyps?
>How common are polyps thought to be - are there many women walking
>around with undiagnosed polyps because they have no symptoms?
>
>Thank you!!

-- R.Daniel Braun, MD FACOG FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

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**Thank you for your understanding ;-)

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In reply to: E: "a few questions on endometrial problems/biopsy"

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