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Re: Fibroid with necrotic centerFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Thu Sep 26 17:11:20 1996
I have an asymptomatic patient with a 4 cm fibroid which has a necrotic center. Last year the fibroid was 3 cm with just a hint of central necrosis. She is 42 years old. Is central necrosis enough of an indicator of sarcomatous degeneration to warrant hysterectomy in an asymptomatic patient? Dan Logen Necrotic ????? I doubt that she has had necrotic tissue in her uterus for over a year. This may be the long term results of necrosis, but I'll bet that if aspirated the fluid will be clear and not necrotic. This sounds like cystic degeneration of a leiomyoma to me. The likelihood of sarcoma is certainly lowl. Is it high enough to make a hyst indicated?? Good question, probably lots of answers. If it is an indication, it probably was one a year ago also.
-- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ R.Daniel Braun, MD FACOG "Money will buy you a fine dog, Clinical Professor but only love can make it wag its Department of OB/GYN tail" Indiana U. School of Medicine Richard "Kinky" Friedman OBGYN.net, International Representative, U.S. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
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