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Re: Postmenopausal BleedingFrom: ainsron@msn.comFri Sep 22 11:03:35 2000
This patient had three pipelle biopsies over a period of several months, all benign. She also had a "suspicious" sonohysterogram and hysteroscopy with biopsies, also benign. She's now had a TVH/BSO - final pathology showed adenomyosis. So much for MRI and CT scan for diagnosing endometrial cancer! >Agreed and maybe throw in a Pipelle biopsy according to results. In my own >practice I tend to do Pipelle and only arrange scan if I can't get Pipelle. >I am aware though that there was a US paper last year which showed US first >then Pipelle if indicated (rather than other way round) is more clinically >and cost-effective approach. > >-----Original Message----- >From: Vivienne Souter [mailto:viv@seaultrasound.com] >Sent: 21 September 2000 17:13 >To: Multiple recipients of list OB-GYN-L >Subject: Re: Postmenopausal Bleeding > >I would do a pelvic ultrasound scan. I think it is as good if not better >than hysteroscopy >Viv > >ainsron@msn.com wrote: > >> 75 yo. on combined/continuous HRT for over 10 years, no bleeding before >> December, no changes in HRT at that time. Hgb has been normal, her >> bleeding is light. >> >> >agree... Hyst for abnormal uterine bleeding might be all you need.. >> > >> >You have more.. >> > >> >How old is she? What is her hgb? >> > >> >-- >> >_______________________ >> >Geffrey H. Klein, MD >> >_______________________ >> >geffrey.klein@obgyn.net >> >200 Medical Center Blvd Suite 103 >> >Webster, TX 77598 >> >(281) 332 6723 >> > >> >http://www.geffreyklein.com >> > >> >> -- >> Ronald E. Ainsworth, MD
-- Ronald E. Ainsworth, MD
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