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Re: Benign Endometrial cells on pap smear in Postmenopausal women.From: Harrison Sheld (hsheld@anv.net)Tue Oct 21 12:16:12 2003
I have not read the article in the ASCCP Journal but there are other articles that have a different statistics. I would advise the patient of the statistics (some studies report a only 1% malignancy level in asymptomatic patients), and would let her make the decision. That said, patients who are on estrogen, symptomatic, or with risk factors for endometrial CA should be sampled. Doing endometrial sampling on menopausal patients is often times difficult and uncomfortable. According to the article cited, and I don't know if the patients were at risk for CA, on estrogen, or symptomatic, 96 out of 100 samplings would be unnecessary. If the patient chose not to be sampled I would inform her to report in a timely fashion symptoms if they should occur and return for a Pap in 4 months. Just my opinion and I could be wrong.
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