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Re: Ovarian cyst and adolescence From: Andrew Folley (agfolley@hotmail.com) Fri Jul 8 14:28:25 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Stmidwife@aol.com: "Man faints, dies after seeing epidural" Previous message: Efrain Ramirez: "Re: London Bombings" In reply to: Dr. Savvas: "Ovarian cyst and adolescence" Dr. Sawas I think you need to determine a cause for her hirsutism. It may be familial if she is of mediterranean descent. On the other hand she may have a androgen producing tumor other adrenals or ovaries. Check testosterone level, androstenedione, DHEA-S and 17 OH Progesterone level (r/o adult onset congenital adrenal hyperplasia). If these levels are reasonable it may be all related to PCO adn treat with BCPs to suppress ovarian function. If DHEA-S is singificantly high it would suggest adrenal tumor and need cat scan and probalby selectiv catheterization by radiology of renal veins to see where the andreogens are coming from. The ovarian cyst is probably nothing ot be ocnerned with and may be rechecked with US in 3 t 6 months. Keep us posted. Andrew >From: "Dr. Savvas" <drsavvas@netmail.com.cy> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Ovarian cyst and adolescence >Date: Fri, 8 Jul 2005 10:53:09 -0500 > >I have an adolescent patient,DOB 22 Jan 1990,with oligomenorrhea and >hirsutism.On ultrasound of uterus and ovaries a cyst was found on the rt >ovary measuring 4.3x5.2 cm.It is consistent with simple ovarian cyst. >How do I proceed?I thought of a conservative attitude watch following up >the cyst. >Any other thoughts? >Dr.S.Savvas Next message: Stmidwife@aol.com: "Man faints, dies after seeing epidural" Previous message: Efrain Ramirez: "Re: London Bombings" In reply to: Dr. Savvas: "Ovarian cyst and adolescence"

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