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Re: Appreciate your advice From: Joanne Bulley, MD (islesannie@yahoo.com) Tue Dec 28 06:09:04 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert Radnich: "Re: Appreciate your advice" Previous message: ben salamon: "Re: Appreciate your advice" In reply to: ENDODOK@aol.com: "Appreciate your advice" Next in thread: Robert Radnich: "Re: Appreciate your advice" Reply: Robert Radnich: "Re: Appreciate your advice" If it is simple hyperplasia - then it is not (yet) pre-malignant. Although with the rest of the history she is high risk for same. If she wants a hyst - that would be definitive treatment. If she is insisting on a non-hyst intervention then hysteroscopic resection might be reasonable - getting tissue for evaluation. I would be concerned about an ablation with her already having hyperplasia. I would want it to be convereted to normal endometrium first -- and if she has been treated with depo-provera already and still had hyperplasia that is more worrisome. Joanne At Mon, 27 Dec 2004, 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 -- Joanne Bulley, MD Keene, NH, USA "Every gun that is made, every warship launched, every rocket fired, signifies in the final sense a theft from those who hunger and are not fed, those who are cold and are not clothed." President Dwight D. Eisenhower April 16, 1953 Next message: Robert Radnich: "Re: Appreciate your advice" Previous message: ben salamon: "Re: Appreciate your advice" In reply to: ENDODOK@aol.com: "Appreciate your advice" Next in thread: Robert Radnich: "Re: Appreciate your advice" Reply: Robert Radnich: "Re: Appreciate your advice"

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