Re: Gyn: Endometrial Cells on pap

From: art fougner, md (evsono@pipeline.com)
Sun Dec 9 11:44:13 2007


We think about amniocentesis for Down's risks much less than 2%. Is endometrial sampling for most women more invasive than amnio? Or is an infant with Down's more intolerable an outcome than cancer? Just asking ...

Art

At Sun, 09 Dec 2007, Harrison Sheld wrote: >
>The question that should be asked as a followup to this study (
>Am J Obstet Gynecol. 2007 Jun;196(6):568.e1-5; discussion 568.e5-6.
> Endometrial cells identified in cervical cytology in women > or = 40
>years of age: criteria for appropriate endometrial evaluation.) is: in
>1784 asymptomatic women over 50 who have no endometrial cells on a
>cytology examination, matched with the 1784 with endometrial cells on
>pap, would pathology be found? Of the 1784 patients, only 440 (25%) had
>"pathology," of which 4 had complex endometrial hyperlasia with atypia,
>and 4 had adenocarcinoma, for a total of less than 2% (8/440). Pathology
>in the other 432 is not cited. The abstract did not include information
>on symptomatology of all patients with pathology. I don't find value in
>this study as reported.
>
>--
>Harrison Sheld, M.D.
>Las Vegas, Nevada
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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