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Re: GYN: Residual uterine tissue after subtotal hysterectomy From: ephia yasmin (dr_ephia@rediffmail.com) Thu Dec 25 01:59:42 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: GYN: Residual uterine tissue after subtotal hysterectomy" Previous message: Anna Meenan, MD: "Re: Merry Christmas" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Residual uterine tissue after subtotal hysterectomy" Next in thread: Larry Glazerman: "Re: Residual uterine tissue after subtotal hysterectomy" This is a multipart mime message Few points about the case that can be questioned- bilateral oophorectomy was done at the age of 38 but the cervix was left behind. Could there have been a difficulty with approach such as adhesions. Think the patient needs evaluation of her endometrial status and surgery. ephia On Thu, 25 Dec 2003 Garry E. Siegel, M.D. wrote : >39 YO P3103, old patient years ago, returned for a second opinion. > >11/02 underwent subtotal hyst/BSO for fibroids, done with local good gyn >onc and regular gyn. Since then, she has had been on Premarin 1.25 mg. >daily for menopausal symptoms, but has bleed pretty much continously. > >Original gyn suggested OCPs; patient didn't try them. >Another gyn did exam, ECC (inflammed endocervical tissue), and while I >don't have records, the patient said the gyn said she only went in 2.5 >somethings--I assume cm. > >Her internist ordered a pelvic ultrasound, which showed a "long cervix" >and residual uterus 5.9 X 3.7 X 3.0 cm. > >Ideally, I would like to sample her endometrium, or even look at it with >a scope, but I'm none too keen on going up her cervix and into her >abdominal cavity! > >Thus, I've proposed to simply cycle her as if she were menopausal with a >uterus (she sort of is) with daily Premarin 1.25 mg, and Provera 10 mg. >for 12 days/month, and see how she responds. > >She is pretty much ready to have another surgery, but I've suggested the >above first. > >Any thoughts? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: Larry Glazerman: "Re: GYN: Residual uterine tissue after subtotal hysterectomy" Previous message: Anna Meenan, MD: "Re: Merry Christmas" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Residual uterine tissue after subtotal hysterectomy" Next in thread: Larry Glazerman: "Re: Residual uterine tissue after subtotal hysterectomy"

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