Re: Endo ca and BCP

From: james connerth (babydoc@apex.net)
Fri Jul 28 10:34:29 2000


Bx done by my NP---saw recent article to ignore endometrial cells on pap on ocp's in young,

"Braun, R. Daniel" wrote:

> That would be normal for someone on OCP's. I probably would not ahve done
> the biopsy and would have missed it.
>
> Dan
>
> R. Daniel Braun, MD FACOG
> Clinical Professor
> Department of Obstetrics and Gynecology
> Indiana U. School of Medicine
> Indianapolis, IN 46202
>
> OBGYN.net
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>
> -----Original Message-----
> From: Jim Connerth [mailto:babydoc@apex.net]
> Sent: Thursday, July 27, 2000 9:36 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Endo ca and BCP
>
> PAP stated "endometrial cells in 2nd 1/2 of cycle may be abnormal
> finding,"Thinprep.
>
> "J. Hellriegel" wrote:
>
> > At Thu, 27 Jul 2000, Jim Connerth wrote:
> > >
> > >51yo P0 on bcp's(triphasic x 6 yrs)married,social worker--no dm,hi
> > >b/p,obesity;endometrial cells on pap noted out of phase
> > ---
> > With a patient on triphasic OCs, I do not know what an "out of phase"
> > diagnosis really means. I am not sure I would have done the endometrial
> > biopsy. Sure glade you did.
> > ---
> > -endo bx well
> > >diff adenoca;pap and ecc neg-nl size uterus;no sig family hx.Have not
> > >seen ca developing on bcp's in 24 yrs----Thoughts??? Have had path
> > >reveiwed.
> > ---
> > Have never seen an endometrial CA in an OC user.
> > Could this be an endometrial polyp with CA?
> > Let us know what you find!
> >
> > J. Hellriegel
> >
> > --
> > John Hellriegel, MD, PhD





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