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Re: biopsy before hysterectomyFrom: Edbello@aol.comWed Mar 26 17:56:30 1997
In a message dated 97-03-25 21:02:35 EST, you write:
<< Is it necessary to obtain at least an endometrial sample biopsy before
performing a hysterectomy indicated for leiomyomatosis? Let's say it's a
patient in her 40's, with 1 year of metromenorrhagia.
>> Probably unreasonable since you are going to have a quite significant biopsy specimen after her hysterectomy and staging of adenocarcinoma of the uterus is surgically. You would probably be required to do so in a teaching institution and is probably the accepted pattern before adenocarcinoma of the uterus had surgical staging. I would remember to open the specimen and see if appears to be a carcinoma visually and if it appears to involve more than half of the myometrial thickness. Edwin Bello M.D.,F.A.C.O.G. Private Practice Forest Park, Georgia Edbello@aol.com
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