Re: Adnexal Mass (Peri and Postmenopausal group)

From: Zach Newton (zbnewton@atl.mindspring.com)
Mon Jul 14 21:02:58 1997


Geffrey H. Klein, MD wrote: > 45 and older is "menopausal". But there
> will have to be a different terminology as all women at or over the age of
> 45 are not menopausal... Any suggestions?

Post-reproductive. >
> I would add that conservative ovarian surgery is probably not indicated for
> these patients. Ovariectomy would be my choice. Any suggestion for
> management of the contralateral adnexa?

The protocol is for management of adnexal mass. The contralateral ovary is not the business of the protocol if it has no abnormal features.

> We should probably agree on 3 or 5 cm as the upper end of normal.

3 cm in this group.

> stable masses, might we dare continue observation? Perhaps some wording
> like, "..continued observation vs. operative removal after medical risk
> assessment and patient counseling."

Sounds good to me.

There is silence in the woods about us, Geff.





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