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Re: Ovarian mass etc.--Garry's excellent surgical adventure :)From: Garry E. Siegel (garrys@mindspring.ocm)Fri Jun 30 21:18:26 2000
At Fri, 30 Jun 2000, jay kulkin wrote: > >Time for the OR. The rest doesn't matter anymore. Let us know. > >JK > Here's the answer: Discussed possibilities at length with her. OR today, did curettage with frozen section, and placed a scope while waiting. Frozen came back with villi just as the scope was getting in. She had a bit of endo, normal tubes, a small uterus with a few tiny subserosal fibroids. The left ovary was 8 cm., cystic, and had multiple excresences that looked to me to be decidural. The right ovary was normal sized with the same excresences. As I looked at it, in my heart I knew this was a corpus luteum with decidual reaction. So, while gently trying to move the big ovary to peek underneath, it ruptured, spilling fluid everywhere. There goes the plan to not spill anything. That said, I biopsied the excresences (frozen--benign), and then did a cystectomy laparoscopically--and it sure looks like a corpus luteum. So, she'll follow up next week with another HCG level. I'll post the final path, too. Out of town for a week--no computer allowed :). Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA
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