-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: CA 125 of 103 From: l.glazerman@rcn.com Thu Feb 9 06:58:23 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ina May Gaskin: "Re: scope of practice" Previous message: Joanne Bulley, MD: "Re: CA 125 of 103" Maybe in reply to: Joanne Bulley, MD: "CA 125 of 103" Next in thread: Richard Chudacoff, MD: "Re: CA 125 of 103" I'd bet she has endometriosis. I'd either repeat, possible MRI, or operate now if she's nervous. >---- Original message ---- >Date: Thu, 9 Feb 2006 06:43:14 -0600 >From: Joe <forcep@intercom.net> >Subject: Re: CA 125 of 103 >To: Multiple recipients of list OB-GYN-L <ob-gyn- l@dns.obgyn.net> > >4. Repeat Ca 125. I had patient like this ,was 95 , but repeated two >times,different lab and was 4 and 6. Still don't know reason for initial >95. Joe C > >Joanne Bulley, MD wrote: >> mid 40s woman 2 or 3 kids, tubes tied. >> >> US shows fibroids and what appears to be two cysts back to back on one >> ovary. Pretty benign appearance by US. No free fluid. >> >> Repeated in 6 weeks showing about the same with a cyst on the other >> ovary also. >> >> CA 125 is 103. >> >> Radiologists say it looks pretty benign and suggests follow up in 3 >> months if direct visualization is not done. Second radiologist says do >> MRI now if not doing direct vis. >> >> My gut says to look now. >> >> Would you >> >> 1. Send to Gyn Onc for surgical evaluation for maximal debulking in >> case it is CA? >> >> 2. Do the Lapscope yourself with the probability of it being fibroids >> and endometriosis as the cause of both the findings on US and the CA12 >> of 103 >> >> 3. Do an MRI and if still fairly benign repeat some imaging at some >> future point (if so - what and when and labs)? >> >> 4. Something else? >> >> -- >> Joanne Bulley, MD >> Keene, NH, USA >> Next message: Ina May Gaskin: "Re: scope of practice" Previous message: Joanne Bulley, MD: "Re: CA 125 of 103" Maybe in reply to: Joanne Bulley, MD: "CA 125 of 103" Next in thread: Richard Chudacoff, MD: "Re: CA 125 of 103"

Return to

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: Tue Sep 2 05:06:32 2008

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.