Re: questions

From: Zach Newton (zbnewton@mindspring.com)
Sun Feb 27 19:18:05 2000


Paul Prior MD wrote:

> I bet the pathology report didn't state any specific diagnosis or
> pathology. These come back as "normal myometrium, cervix ... blah
> blah." Your argument goes to my point. It is an "a priori" fact,
> IMO.
>
> This is a particular peeve of mine right now as I've had a couple 200+
> gram uteri come out with no pathologic diagnosis listed and these will
> be on my case list :) They also fall out on our surgery quality
> assurance indicators - "c/s for fibroids with none on pathology
> report...."
--------------------------------------------------------------------

Paul- --------------------------------------------------------------------

-------------------------------------------------------------------- Extended upper limits of normal for premenopausal, non-gravid uterus, is +/- 100 grams. Therefore, 200 grams is abnormal. In the absence of identifiable cause for enlargement, the default pathologic diagnosis is "uterine hypertrophy." This extends formal assignment to the specimen representing a deviation from normal. You have every cause to review your cited cases with pathologist with a formal request for an amended report.

--
Zach Newton
Z. B.Newton, III, M.D.
Atlanta/Gyn




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