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Re: biopsy before hysterectomy From: ATFSOCCER@aol.com Wed Mar 26 22:03:41 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Breech at 36 5/7" Previous message: Kelly Shanahan: "Re: ANNOUNCING NEW VEGAS LIVE FORUM!!!" Maybe in reply to: Sing-Hung Chang: "biopsy before hysterectomy" Next in thread: Hugo D. Ribot Jr.: "Re: biopsy before hysterectomy" In a message dated 97-03-26 19:06:12 EST, you write: > 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 > I would say that biopsy is most appropriate in this setting. Considering that 20% of all endometrial cancers occur in women under 45. If you biopsy the woman and it returns showing a grade 3 lesion you should be prepared to do nodes. andy Next message: Robert J. Carpenter, Jr. MD: "Re: Breech at 36 5/7" Previous message: Kelly Shanahan: "Re: ANNOUNCING NEW VEGAS LIVE FORUM!!!" Maybe in reply to: Sing-Hung Chang: "biopsy before hysterectomy" Next in thread: Hugo D. Ribot Jr.: "Re: biopsy before hysterectomy"

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