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Re: Endometrial stripeFrom: Dan Logen (pdl@whidbey.net)Sun Nov 10 20:21:32 1996
>Do any of you folks out there use the endometrial stripe measurement by vaginal >probe ultrasound to r/o endometrial hyperplasia/cancer? Occasionally I come >across an elderly patient with PMP bleeding and a stenotic cervix who fails the >office endometrial biopsy. Do you rely on the stripe or do you go to formal >D&C? > >Steve > >Steven Ahn, MD >Tracy OB/GYN Medical Group Inc >1407 Tracy Blvd >Tracy CA 95376 > I also regularly rely on a thin stripe for reassurance. Occasionally I will do an endometrial biopsy even with a thin stripe, especially if risk factors such as obesity, hypertension and diabetes are present. In several years, I have had only one case of frank carcinoma with a thin (1-2 mm) stripe. This lady wasn't even bleeding! She was 60, obese, hypertensive, diabetic, and not on hormones. Luckily her pap picked up the endometrial carcinoma. Even at surgery the carcinoma was not grossly visible, but microscopically it was high grade.
-- Dan Logen Stanwood, Wa pdl@whidbey.net
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