Re: TVS & endometrial Ca
From: art fougner, md (evsono@pipeline.com)
Wed Jan 13 11:03:08 1999
Yup! that's why the sensitivity is only in the mid-90's, not 100%. still
apparently better than blind biopsy.
again nice scan!
Art
At Wed, 13 Jan 1999, Ozren Mamula wrote:
>
>Yes it was a polyp, but that's not the point. The point is that without
>hystology
>you can't be sure. Without saline infusion only thing you can see is 4 mm
>endometrial thickness and everything can look normal.
>
>Ozren,
>
>At 14:06 1999.01.12 -0600, you wrote:
>
>>dunno. looks like a small polyp. since cancers can exist in a polyp,
>>in a woman with postmenopausal bleeding, this should be removed and
>>handed to the pathologist for exam. i take it this was done. what did
>>the path report show?
>>all the article says is that compared with blind biopsy, TVS performed
>>better as a screening test. TVS obviously still missed some cancers.
>>out of curiosity, was saline infused to obtain this image or was this
>>fluid already present within the cavity? Good case! have seen a few of
>>these myself.
>>
>>Art
>>
>>At Tue, 12 Jan 1999, Ozren Mamula wrote:
>>>
>>>O.K. Then tell me is this endometrial polyp or cancer ?
>>>Please take a look at:
>>>
>>>http://www.obgyn.net/US/_uploads/POLIP.JPG
>>>
>>>Ozren,
>>>
>>>At 08:17 1999.01.12 -0600, you wrote:
>>>
>>>>This just in -
>>>>A simple ultrasound scan may be better at detecting cancer of the uterus
>>>>than the traditional biopsy method, researchers reported.
>>>>This is compared with 85% to 95% discovered through biopsy.
>>>
>>>>"The cancers I've seen have all occurred in women with [lining]
>>>>thickness in excess of 5 mm," said Morris Wortman, M.D., a clinical
>>>>associate professor at the University of Rochester and director of the
>>>>Center for Menstrual Disorders and Reproductive Choice, both in
>>>>Rochester, N.Y.
>>>>
>>>>thought you'd all like to know.
>>>>
>>>>Art
>>>>
>>>>--
>>>>art fougner, md
>>>>SonoScan/Genetic Sciences
>>>>forest hills, ny
>>>>evsono@pipeline.com
>>>
>>>--
>>>Ozren Mamula , MD
>>>Ozren.Mamula@public.srce.hr
>>>KBC Rijeka
>>>Kresimirova 7
>>>Croatia
>>>Tel : ++ 385 51 213 342
>>>
>>--
>>art fougner, md
>>SonoScan/Genetic Sciences
>>forest hills, ny
>>evsono@pipeline.com
>>
>--
>Ozren Mamula , MD
>Ozren.Mamula@public.srce.hr
>KBC Rijeka
>Kresimirova 7
>Croatia
>Tel : ++ 385 51 213 342
>
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
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