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Re: Bilateral dermoids From: Andrew Folley (agfolley@hotmail.com) Thu Mar 8 06:09:16 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Bilateral dermoids" Previous message: Dr Eberhard Lisse: "Re: Bilateral dermoids" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Bilateral dermoids" Next in thread: Raymond Stephen: "Re: Bilateral dermoids" More likely these are theca lutein cysts in light of bilaterality and pregnancy. Low probalbilty for malignancy at her age. I would obtain washings, perhaps biopsy omentum and any nodualrity of peritoneum seen. Possibly aspiration of each cyst with thorough irrigation afterwards. If any hair, teeth present would do cyst resection and preserve ovaries. Otherwise close up and look for resolution of cysts in next 12 weeks. If still persistent could do laparoscopy and resection then.= andy >From: "Elrod, Darryl G Maj 48 MDOS/SGOBO" <Darryl.elrod@LAKENHEATH.AF.MIL> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Bilateral dermoids >Date: Wed, 7 Mar 2007 11:19:21 -0600 > >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 > >Obstetrician/Gynecologist > >Chief of Obstetrics > >48 MDOS/SGOBO > >RAF Lakenheath, England > >Telephone DSN: 314-226-8130 > > Comm: +44 (0) 1638 52 8130 > >Notice of Confidentiality >Under the Privacy Act of 1974, you must safeguard all information >reflected on this e-mail and, if applicable, all attachments. >Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI >37-132, AFI 33-219, and PL 93-579" >This e-mail message including any attachments is for the sole use of the >intended recipient(s) and may contain confidential and privileged >information. Any unauthorized review, use, disclosure or distribution is >prohibited. If you are not the intended recipient, please contact the >sender by reply e-mail and destroy all copies of the original message. >Any questions pertaining to disclosure should be directed to the privacy >officer. > _________________________________________________________________ The average US Credit Score is 675. The cost to see yours: $0 by Experian. -- _________________________________________________________________ http://www.freecreditreport.com/pm/default.aspx?sc=660600&bcd=EMAILFOOTERAVERAGE Next message: Andrew Folley: "Re: Bilateral dermoids" Previous message: Dr Eberhard Lisse: "Re: Bilateral dermoids" In reply to: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Bilateral dermoids" Next in thread: Raymond Stephen: "Re: Bilateral dermoids"

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