Stuart Winkler

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394 appearances 1 recordings 1 series first heard Jul 2026 last heard 23 Jul

Stuart Winkler’s voice in public audio — every appearance, attributed to the second.

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Thinking About Ob/Gyn · Episode 12.2 Cuff Dehiscence and Classic Papers · 23 Jul 2026 podcast

But the authors concluded that the endometral thickness of less than or equal to four millimeters in that group, there was only a 3.6% chance of finding an abnormality.

And this included six cases of polyps and six cases of just benign hyperplasia, but no cancers.

If they changed that cutoff to five millimeters,

millimeters, there were two cancers that went undiscovered.

So this is the paper that gave us that four millimeter rule that so many of us know and until recently loved for avoiding an immature biopsy.

And in postmenopausal patients.

I will see sometimes people try to apply this to premenopausal patients and I'm like, You can't do that.

You can't do that.

Postmenopausal patients.

Yeah.

Yeah, and I know you guys covered this recently a couple of episodes ago.

That new guidance was found in committee opinion seven thirty four.

And so in just a in a nutshell, I read it and said it's really a reminder not to rely one hundred percent on the ultrasound endometrial stripe thickness.

And especially when it comes to black women.

So this has been an evolving area of research that

has recognized these limitations from this Carlson study.

And then as you mentioned, that homogeneous group of white women from the landmark study really, really comes into questions of generalizability.

We know that black women are two to three times more likely to have what we used to refer to as type 2 endometrial cancers.

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