Re: Appreciate your advice

From: Robert Radnich (rhradnich@hotmail.com)
Tue Dec 28 06:28:11 2004


As I read your posting, she has only had an endo bx. I think you should more completely evaluate the endometrium IE: D&C/Hysteroscopy before you make any recommendations.

At Tue, 28 Dec 200> >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
>

--
Bob Radnich, MD,FACOG
Dover, DE




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