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Re: Atypical complex hyperplasia / endometrial cancer From: Joanne Bulley, MD (islesannie@yahoo.com) Fri Feb 21 06:51:45 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Atypical complex hyperplasia / endometrial cancer" Previous message: Richard Chudacoff, MD: "Re: Atypical complex hyperplasia / endometrial cancer" In reply to: Dr. Ainsworth: "Atypical complex hyperplasia / endometrial cancer" Next in thread: Joe Cutchin: "Re: Atypical complex hyperplasia / endometrial cancer" Case #1 -- first recommendation is hyst by any route - if she refuses a hyst then continuous progesterone (20mg MPA daily) with biopsies every 6 months. The first patient I had like this that did not want a hyst was put on this regimen by the gyn-onc I sent her to for a second opinion. As long as she was on the MPA she was ok - but when she went off of it the biopsy in 6 or 12 months was right back there. She finally had the hyst rather than taking a daily medicine and getting biopsied. #2 -- I'd probably opt for TAH BSO with path evaluation for depth and grade to determine whether or not to do nodes. I suppose you could do a TVH BSO and then go abdominally for nodes if the path eval justified it (grade 2-3 or invasion >50%) -- Joanne Bulley, MD Keene, NH, USA ----- In Germany they came first for the Communists and I didn't speak up because I wasn't a Communist. Then they came for the Jews and I didn't speak up because I wasn't a Jew. Then they came for the trade unionists and I didn't speak up because I wasn't a trade unionist. Then they came for the Catholics and I didn't speak up because I was a Protestant. Then they came for me -- and by that time no one was left to speak up. -- Martin Niemöller 1892-1984 Next message: Joanne Bulley, MD: "Re: Atypical complex hyperplasia / endometrial cancer" Previous message: Richard Chudacoff, MD: "Re: Atypical complex hyperplasia / endometrial cancer" In reply to: Dr. Ainsworth: "Atypical complex hyperplasia / endometrial cancer" Next in thread: Joe Cutchin: "Re: Atypical complex hyperplasia / endometrial cancer"

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