Re: Bilateral dermoids

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Wed Mar 7 17:08:12 2007


Just this morning we discussed a torsion of a dermoid cyst and I pointed out that the perceived wisdom is that dermoids are bilateral 50% of the time. My practice is to shell them out and retain whatever ovarian tissue you can. There is a lot to be said for dealing with them as soon as you find them because the incidence of torsion is high.

Steve

________________________________

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod,

--
________________________________
Darryl G Maj 48 MDOS/SGOBO
Sent: Thursday, 8 March 2007 4:20 AM
To: Multiple recipients of list OB-GYN-L
Subject: Bilateral dermoids

I have just gotten out of the OR with a 26 yo G1 at 39 wks that had a c-section for failure to progress. At the time of the c-section the ovaries were both found to be enlarged to 8-9cm. Neither had previously been noted on her early OB sono nor her anatomy scan at 22 weeks. By the appearance of the fluid seen through the cyst wall my suspicion was that this represented bilateral dermoid cysts.

What are the management options with this patient and which would you choose and why?

(Then I'll tell you what I did-right or wrong)

Glen

//SIGNED//

D. Glen Elrod, Maj., USAF, MC

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