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

From: Efrain Ramirez (eramirez@icepr.com)
Fri Jun 30 06:48:03 2000


The protocol for MTX says that mass should be less than 3 cms? - but this case - cyst seem not related to IUP - maybe has had such "mass" for months - not a bad idea to do office suction curettage and give MTX - see what happens then to cyst. Interesting case - can argue both ways!

At Thu, 29 Jun 2000, Jim Connerth wrote: >
>Does not want to be preg-VS stable-HCG<10k-Empty uterus---???MTX???
>
>"Garry E. Siegel" wrote:
>
>> 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

--
"Do not take life too seriously. You will never get out of it alive."

Marianne Williamson





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