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Re: Appreciate your advice From: Steve & Eryl Raymond (eryl@intekom.co.za) Mon Dec 27 23:43:48 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ben salamon: "Re: Appreciate your advice" Previous message: ENDODOK@aol.com: "Appreciate your advice" In reply to: ENDODOK@aol.com: "Appreciate your advice" Next in thread: ben salamon: "Re: Appreciate your advice" Reply: ben salamon: "Re: Appreciate your advice" Diabetic with postmenopausal bleeding and endometrial hyperplasia? - Get it out quick smart - there is too much risk of malignancy. Steve Raymond ENDODOK@aol.com wrote: >58 yr.old G2 P2, one year hx. menometrorrhagia. Endo Bx. simple hyperplasia, >no atypia. UTZ uterus 5.7x 6.8x 10.9.cm. Cavity widened to 24 cm .Oblong >inhomogeneous density 11mmx36mm (polyp?fibroid?carcinoma?). Endometrial lining >posterior to this density 4-8 mm. Small fibroid anteriorly 7 mm. > Had been treated by NP at an HMO with E/P, then Depoprovera, no >improvement. Hb.10/HCT 32. Pt diabetic (HbA1c 8.6 / hypertensive. Weight 240.) Also >has SUI. > Was advised she needed a hysterectomy because of a premalignant lesion >of the endometrium. > >Am considering the least traumatic Rx, via endometrial resection/ablation >and TVT for SUI. > >Your thoughts?? > >J.Glenn Bradley MD > Next message: ben salamon: "Re: Appreciate your advice" Previous message: ENDODOK@aol.com: "Appreciate your advice" In reply to: ENDODOK@aol.com: "Appreciate your advice" Next in thread: ben salamon: "Re: Appreciate your advice" Reply: ben salamon: "Re: Appreciate your advice"

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