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Re: AdenomyomaFrom: dahmd@gate.netSun Jun 2 12:43:28 1996
In article Ronald Helm <ronhelm@ronhelm.seanet.com> writes:
>Mats: Your question was posed and the Subject was adenomyoma, not >lieomyoma. In this country these are two different entities. You must >distinguish one from the other. I strongly feel that far two many >"wallet biopsies" are being performed on women in this country merely >because a few, or many, small or large asymptomatic fibroids or >adenomyomas have been palpated on pelvic exam or worse yet on an >"ultrashit" study. I personally consider much of the ultrasound, >whether ob or gyn ultrasound to be no more than Ultra-Babble. I'm always dismayed at the referrals I get for women with small and asymptomatic fibroids that are found on ultrasound, after a routine exam yields a slightly enlarged and nodular uterus. Many of these women have been conditioned to think "hysterectomy" whenever someone mentions "fibroids," and they are often surprised when I tell them they can come back next year and do not need surgical intervention. On the other hand, one patient recently came in with a few small fibroids, after being told by 3 different Ob/Gyns that she "needed a hysterectomy or else the fibroids would continue to grow and someday cause problems." Her allegations were documented by copies of medical records from the other 3 doctors. I wonder if this represents ignorance about these common tumors, or is a way for a doctor to increase income. Both are bad, but the former is less so. thanks, Ashley D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL
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