Re: Appreciate your advice

From: ben salamon (bensal14@yahoo.com)
Tue Dec 28 02:37:50 2004


Steve & Eryl Raymond <eryl@intekom.co.za> wrote: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
>

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