Re: Postmenopausal Bleeding
From: ainsron@msn.com
Fri Sep 22 19:39:10 2000
Check out my original post! This patient had 3 endometrial biopsies, all
benign, a sonohysterogram - suspicious of polyp, an MRI in March
"suspicious of uterine cancer," a second MRI in August, also "suspicious
of uterine cancer." Neither MRI suggested the Dx of adenomyosis.
>Did she have MRI?Did it show adenomyosis---reportedly good tool to dx this--
>
>ainsron@msn.com wrote:
>
>> 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
--
Ronald E. Ainsworth, MD
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