Re: Ovarian mass and early pregnancy (long--what a surprise!)

From: Braun, R. Daniel (rbraun@iupui.edu)
Fri Jun 30 05:52:25 2000


9 Cm. is an awful big ectopic for an HCG of 3800. Do a Menstrual Aspiration first and see if you get villi. If you do, then you can watch HCG and cyst. If not, you could give MTX and watch cyst.

Dan

R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202

OBGYN.net International Representative for United States

Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236

-----Original Message----- From: garrys@mindspring.ocm [mailto:garrys@mindspring.ocm] Sent: Thursday, June 29, 2000 7:52 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Ovarian mass and early pregnancy (long--what a surprise!)

At Thu, 29 Jun 2000, Joe Cutchin wrote: >
>Would like to see quant. HCG. No. 1 for me.
>

It is now one day later--HCG 3800. I spoke with the radiologist who said that what he called a small hypoechoic area in the uterus on vagscan really couldn't be called a sac. Point Blank, I asked him if he thought that he should have seen more with that HCG, and he didn't hesitate--yes.

So, now we have an HCG of 3800, an empty uterus, and an ovarian mass--and by the way, she doesn't wish to be pregnant.

My working assumption is an ovarian mass unrelated to pregnancy (although Jay could be right--but a 9 cm. corpus luteum seems a bit unusual), and let's rule out an ectopic, realizing it *might* be a very early IUP.

It is Thursday night, and we're going to the OR Friday PM. I'm then out of town, but will post the results.

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Private Practice
Roswell, GA




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:44:36 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.