OB-GYN-L Messages for January, 2005: Re: 19mm endometrial stripe : follow up

Re: 19mm endometrial stripe : follow up

From: Henry Gregor

henrygregor@yahoo.com

Mon Jan 3 18:43:54 2005

Well said. I think I meant to have said that...but, hey it's a new year and the message thread is young. To paraphrase an old Oscar Wilde line, while I might wish I'd said that, not to worry, in a little while I will have said it...<big smile>

Glad to see none of us are content to not run the situation down further...hate to say it, but still seems like once a year a patient comes in with a story of some such scenario that didn't get pursued. ('course sometimes that's just a little patient denial from when they might have resisted prior docs' recommendations for chasing the problem down. I'm sure we've all heard the tale.) Hank

"Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com> wrote: Personally I do an EMB and SSHG for abnormal bleeding in a patient over 35 yo. Usually the SSHG first. If positive then I do hysteroscopy for the abnormality. If SSHG is not available, I'd biopsy first, then do hysteroscopy. Why? I think that gross CA on EMB would be sufficient to proceed to other procedures rather than h-scope.

Richard Chudacoff, MD

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Monday, January 03, 2005 10:22 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 19mm endometrial stripe : follow up

Of course not --but I think it should be considered as an early step in the evaluation of endometrial abnormlaties in US or otherwise -

>At Mon, 3 Jan 2005, art fougner, md wrote:
>
>EB is not as good in the diagnosis of polyps.
>
>art
>
>At Mon, 3 Jan 2005, Efrain Ramirez wrote:
>>
>>Office EMB is sooooo easy and lacks almost any complications - the
>>diagnostic yoeld is very good - why not do it?
>>
>>>At Mon, 3 Jan 2005, Henry Gregor wrote:
>>>
>>>Agree, we're all just sharing opinions. I still think tissue needs
assessment prior to therapy, and while doing a transvaginal endo assessment is quick and easy to perform, with about as low a learning curve as could be found amongst any list of things to gain skill in, I don't feel comfortable with the thought of putting too much weight on the endosono assessment picture. Correlations between endo thickness and appearance and ultimate histology vary so much over the map that journal reports on their meaning seem to have become a cottage industry onto itself.. >>>
>>>Hank
>>>
>>>"art fougner, md" wrote:
>>>becomes less of an issue as residency programs graduate folk skilled in
>>>the use of the vaginal transducer.
>>>
>>>just my opinion - i could be wrong.
>>>
>>>art
>>
>>--
>>"The opposite of a correct statement is a false statement.
>>But the opposite of a profound truth may well be another profound truth."
>>
>>Niels Bohr (1885 - 1962)
>>
>--
>art fougner, md
>May the Joy of this Holiday Season Be with You
>and Yours throughout the New Year.
>

-- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)

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