Re: Endometrial hyperplasia

From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jul 26 16:45:42 2005


Vag hyst. if possible.

At Tue, 26 Jul 2005, Hank Gregor wrote: >
>I have a 68 yo patient who presented with postmenopausal bleeding, with
>a large endocervical polyp. Clinical includes several years of E/P HRT.
>She stopped the P at the time of the WHI out of concern re the prempro
>reports. Unfortunately, she kept on with E alone these last several
>years.
>
>At hysto d&c a benign endocx polyp was removed, an abundant amount of
>endometrial tissue was sampled, with a complex adenomatous hyperplasia,
>w/o atypia being read on final path.
>
>I propose to treat for endometrial regression, with sustained
>progesteron alone, and interval followup sampling. Any comments re
>choice of P, either micronized or synthetic (?Megace?) and dosage?
>
>Thanks,
>
>Hank
>Gregor

--
"Character may be manifested in the great moments, but it is made in the
small ones."

- Phillip Brooks

~walt whitman~





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