Hyperplasia

[Guest guest]

Hyperplasia:

Since there have been some posts about hyperplasia recently – I thought I’d

toss in my two cents worth:

Endometrial hyperplasia is NOT cancer and usually is NOT even a

pre-cancerous condition.

My understanding is that it can almost always be resolved by taking

progesterone drugs for a period of time.

See, for instance:

http://www.medem.com/MedLB/article_detaillb.cfm?article_ID=ZZZ7Z2GWQMC&sub_cat=9

-- and that from ACOG – a bunch of folks who IMHO lean heavily towards the

hysterectomy happy side of the scale!!!

Hyperplasia is either typical or atypical (aka with atypia).

It is usually very treatable.

Unless there is atypia present it is totally benign.

I think anyone who gets a hyperplasia diagnosis should be sure to ask

whether it is with or without atypia -- typical or atypical . .

Dr. , both in his book “A Gynecologist’s Second Opinion” and on this

list, has also recommended having more than one pathologist read the slides

– and making sure the pathologist is someone is experienced with respect to

gynecologic pathologies. In his book he states “one study found that 60

percent of biopsies originally thought to represent hyperplasia were normal

when reviewed by an expert pathologist. Only 3 percent of these biopsies

were found to represent cancer.” (at p. 317).

See also, Dr. Wm. ’s post on this list #28698:

http://health.groups.yahoo.com/group/uterinefibroids/message/28698

* * * * *

I worry that some docs use hyperplasia which could be resolved in

combination with the psychology of fear to talk women into unnecessary

hysterectomies.

Pat

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