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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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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

So these are these P53 mutated high-grade endometrioid uterine papillary series.

serious carcinosarcomas, altogether less than ten percent of endometrial cancers, but they are a higher proportion of endometrial cancers in black women.

And these cancers are less likely to present with thickened endometrium in the same way that these hormone-driven low-grade endometrial cancers are.

There was a retrospective study done by Kimmy Dahl and her colleagues.

This was published in 2024.

There was nearly 1,500 Black women from 10 different institutions.

And these they all had pre-op ultrasound and went on to have a hysterectomy.

There's a lot of interesting

Interesting findings from this study, but one was that using the four millimeter cutoff would have missed an underlying cancer 9.5% of the time.

So that's huge, uh much, much different than sort of the landmark study.

And black women have a higher incidence of these cancers.

And it's also much harder to get a reliable endometrial stripe in patients with fibroids, which we know black women also have.

more are more likely to have fibroids.

And you talked a little bit about some of the difficulty in that technique dependent measurement.

Yeah.

I think the thing too and I think

We do this or we should.

But when we if you have a patient and you see her and say the stripe is then, if she continues to bleed, don't just be reassured.

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