Re: Gyn: complex hyperplasia with atypia--follow up

From: art fougner, md (evsono@pipeline.com)
Sun Jan 28 20:25:21 2001


and the nodes showed ... ?

art

At Sun, 28 Jan 2001, RModugno@aol.com wrote: >
>In a message dated 1/28/01 4:06:41 PM Eastern Standard Time,
>garrys@mindspring.com writes:
>
>> LAVH BSO done easily. Intraop path revealed adenocarcinoma confined to
>> the endometrium intermixed with complex hyperplasia. Final path
>> unchanged.
>>
>> I assume that she is cured with no need for further treatment. So, for
>> discussion purposes:
>>
>> 1. Would you resume her estrogen?
>> 2. What surveillance, if any, is needed? Would those of you who don't
>> do paps after hysts (like me) do them in this patient?
>>
>> Garry
>>
> To answer your first question with a question - I would but would you
>add progesterone? I think I might. And yes, I would do regular pap smears on
>her - even though the risk of a vault recurrence is small.
>
>Robert Modugno MD MBA FACOG
>Marietta, GA

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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