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Surgical decision and breast cancer From: emilio porro (sanbonav@hotmail.com) Mon Oct 16 11:43:52 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudaoff: "Re: Surgical decision and breast cancer" Previous message: ainsron: "Re: Surgical decision" In reply to: Richard Chudaoff: "Re: Surgical decision" Next in thread: Richard Chudaoff: "Re: Surgical decision and breast cancer" Reply: Richard Chudaoff: "Re: Surgical decision and breast cancer" I think it's common medical experience to see some patients develop breast cancer( 1 in 8 women lifetime risk in USA (NWHIC); 1 in 11 women will develop breast cancer during their lifetime in Australia 2000 (AIHW and AACR, AIHW National Mortality Database, Australia’s Health 2004, AIHW)that neeeds tamoxifene therapy with risk of endometrial cancer. That's why from 48 years of age when a patient neeeds gynecological surgery as for ovarian cyst I suggest THA BSO to avoid ovarian cancer,uterine cancer,hormonal dependent breast cancer,endometrial cancer from tamoxifene therapy. I agree that GYNECOLOGY NEEDS TO BE A MINIMALLY INVASIVE SURGICAL PROFESSION but it is also as obstetrics ,PREVENTIVE MEDICINE Yours faithfully Emilio Porro Como-Italy >From: "Richard Chudaoff" <rchudacoff@mylinuxisp.com> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: Surgical decision >Date: Mon, 16 Oct 2006 10:22:55 -0500 > >WHY? Do a laparoscopic salpingo-oophorectomy. It was benign!!! If you >really >feel the need to perform a bilateral oophorectomy, do it laparoscopically. >Why take the uterus? If you really, really feel the need to remove the >uterus, take it laparoscopically too. What is it with these huge incisions >when the general surgeons do it all with minimally invasive techniques. > >GYNECOLOGY NEEDS TO BE A MINIMALLY INVASIVE SURGICAL PROFESSION. > >Richard Chudacoff, MD, FACOG >Minimally and Non-Invasive GYN Surgery >Women's Specialists of Houston >6624 Fannin St. #1800 >Houston, TX 77030 > >tel: 713-797-1144 >fax: 713-425-3071 > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain >Ramirez >Sent: Monday, October 16, 2006 10:12 AM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Surgical decision > >Of course!:) - consent form TAH BSO.. > >Ef > >At Mon, 16 Oct 2006, DoctorJoe@aol.com wrote: > > > >In a message dated 10/16/2006 9:57:48 A.M. Central Standard Time, > >eramirezt@coqui.net writes: > > > >61 y/o G2 P2 C/S x2 - incidental ultrasound finding of a 15cm x 9 cm x > >13 cm simple right ovarian cyst.. normal Ca 125, normal CT > >scan..symptomatic cholelithiais ... laparoscopic cholecystectomy done - > >laparoscopic view of the cyst - benign appearing.. what would you do? > > > >Simple cystoophorectomy.. > >Frozen section wait .. (done - simple serous cyst) > >TAH BSO, partial omentectomy.. > > > >At least the simple cystectomy and frozen. > > > >What did the consent form say? > > > >Joe P. > >-- >" The greatest obstacle to knowledge is not ignorance, >it is the illusion of knowledge." Daniel J. Boorstin - Historian > Next message: Richard Chudaoff: "Re: Surgical decision and breast cancer" Previous message: ainsron: "Re: Surgical decision" In reply to: Richard Chudaoff: "Re: Surgical decision" Next in thread: Richard Chudaoff: "Re: Surgical decision and breast cancer" Reply: Richard Chudaoff: "Re: Surgical decision and breast cancer"

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