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Re: GYN Oncology questionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Thu Mar 25 17:39:39 2004
At Thu, 25 Mar 2004, Robert Radnich wrote: > >What would be your recommendation be on unsuspected Ib well >differentiated focally superficially invasive (12%) adenocarcinoma in >hysterectomy specimen?Ovaries looked normal at surgery, but were not >removed. >1) do BSO and nodes >2) do emperic radiation Rx >3) do nothing >4) other > >Appreciate you input. > >-- >Bob Radnich, MD,FACOG >Dover, DE > Do nothing, I send them for consult to our local radiation Oncology center none have ever gotten radiotherapy main reason I do this is to get them into the database and to get them into the loop for increased survallience for breast, ovarain and colon ca. With > 50% myometrial invasion and poor diff histology radiotherapy is strongly reccommended, the gray area is well-mod diff and close to 50% invasion. This is from the BC Cancer Agency. http://www.bccancer.bc.ca/HPI/CancerManagementGuidelines/Gynecology/Endometrium/Mngmt.htm
--
Take care, John
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