WOMENS-HEALTH Messages for August, 1997: Re: Complex Endometrial Hyperplasia

Re: Complex Endometrial Hyperplasia

From: Julie (anonymous@obgyn.net)
Wed, 27 Aug 1997 22:51:13 -0500 (CDT)

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At Wed, 27 Aug 1997, D. Ashley Hill, M.D. wrote: >
>At Wed, 27 Aug 1997, Julie wrote:
>>
>>I am 33 and have been seeing an RE for 4 months. I recently had a
>>hysteroscopy where they took a polyp out. I just got the
>>pathology report and it wasn't very good - here's what it said:
>>
>>Endometrial Biopsies:
>>1 - Complex endometrial hyperplasia with severe architectural and
>>moderate cytological atypia
>
>>I have setup an appointment w/a gyn oncologist. My questions are:
>>
>>1. I know this isn't cancer but only a pre-cursor, am I jumping the gun
>>by seeing a gyn oncologist instead of my regular ob/gyn.
>
>Well, I *was* a little surprised that your RE referred you "past" your
>Gyn to a Gyn/Oncologist for this problem. This is not a cancer, as you
>say, and any of the 3 doctors you are seeing should be able to do a D&C
>to obtain a larger specimen for evaluation.
>
>>2. Is it likely I'll have to have a hysterectomy.
>
>If the D&C specimen returns with complex hyperplasia then it is possible
>you can be cured with medical therapy (hormones) or even by getting
>pregnant (the elevated progesterone levels should theoretically solve
>the problem). However, complex hyperplasia in older patients usually
>results in a hysterectomy. In similar patients with similar pathology I
>have suggested 6 months of progesterone therapy, or pregnancy. If the
>progesterone therapy is used, then I usually repeat the biopsy in 6
>months. If negative, it should be safe to proceed with pregnancy.
>
>Good luck on your D&C and on getting pregnant.
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>I apologize, but I am unable to answer personal e-mail
>due to time constraints.
>

--
Thank you for taking the time to respond so quickly.

Next message: Jennifer: "No more e-mail"
Previous message: Linda: "Re: Joke"
In reply to: D. Ashley Hill, M.D.: "Re: Complex Endometrial Hyperplasia"
Next in thread: Kelly: "Re: Complex Endometrial Hyperplasia"

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