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Re: CA 125 of 103 From: art fougner, md (evsono@pipeline.com) Sun Feb 12 08:35:53 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: A license to kill" Previous message: zygote@icsi.net: "Re: Fwd: A license to kill" In reply to: Joanne Bulley, MD: "Re: CA 125 of 103" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: CA 125 of 103" Joanne the relative risk of any finding depends heavily on the patient's a priori risk. The more background risk factors, the more significant any finding is. That being said, some folks can be simply unlucky and not read the latest metanalysis. Pls provide F/U. Thanks Art At Sun, 12 Feb 2006, Joanne Bulley, MD wrote: > >Thanks John for the posts and all others for comments on this case. > >My fault for posting from recollection without the chart etc. But >looking abck it is interesting when different folks would intervene. > >Also rather interesting that the perspective changes completely with >that additional data. > >We know that someome without that personal / family history still gets >cancer. As we all know, most ovarian CA as well as breast CA is in >women with no family history. > >So ... if someone WITH the family history with DUB where adnexal >abnormalities are found and a CA 125 of low 100's is handled one way >(surgically) ... and a person WITHOUT the family history is handled a >different way (no surgery) and the second one is found 6 months or a >year later to have cancer, then did we do her a disservice of being >"reassured" by a persistent adnexal finding and a CA125 of low 100's? > >Devil's advocate here. > >Huddled up for the Nor'Easter today. > >Joe - are you living in a FEMA trailer - not back into your home? > >-- >Joanne Bulley, MD >Keene, NH, USA > -- art fougner, md Buy Danish! Next message: art fougner, md: "Re: A license to kill" Previous message: zygote@icsi.net: "Re: Fwd: A license to kill" In reply to: Joanne Bulley, MD: "Re: CA 125 of 103" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: CA 125 of 103"

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