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Re: Benign Endometrial cells on pap smear in Postmenopausal women.From: Braun, R. Daniel (rbraun@iupui.edu)Wed Oct 22 06:21:36 2003
They were assymptomatic and there was no relationship to their being on estrogen or not according to the study. How many negative samplings do you get for every 4 malignancies when you sample 40 yr olds with menomenorrhagia?? I'll bet it is a lot more than 96, still it is the standard of care. Dan -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Harrison Sheld Sent: Tuesday, October 21, 2003 12:18 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Benign Endometrial cells on pap smear in Postmenopausal women. 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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