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adenocarcinoma of endometrium and 'natural' treatmentsFrom: Carlos Roure MD (croure@attglobal.net)Mon Mar 19 17:46:26 2001
Recently saw a 42 yo female with longstanding history of prolactin in the 100 range, prolongued amenorrea (LMP about 1 year ago) who several years ago had a diagnoses of adenocarcinoma of endometrium treated with megace and "it went away". By October of 2000 her gynecologist does an office D&C and adenocarcinoma of endometrium is again diagnosed. TAH advised but patient is now a Jehova's witness, serious believer in the healing powers of God and nature and runs away to a natural healer who prescribes all sorts of treatments from mud (barro) to ajonjoli tampons, vitamins, herbs and what have you. Three months later her natural healer askes her to return to mundane medicine, her gyn gto see if she's healed. It is a long story but bottom line is she arrives at mine. Endometrial thickness is 14 mm, she is not bleeding at all for a year, and several endometrial aspirfation curettages show basically no endometrial tissue. She is very happy as this is a sign that she is cured but agrees to an inhospital histerocopy curettage. En hysteroscopy the endometrium seems atrophic and lots of sharpe curettages shows basically no endometrial tissue again. The hospita Pathologist reviews the october sample and agrees it is adenocarcinoma of endometrium, very well diff. Sshe does not want any treatment for elev. prolactin but. Aside from what she will desire and interpret this as meaning what would be your advise to this patient. Be advised that she is a very nice person. Carlos thanks for answers
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