WOMENS-HEALTH Messages for April, 1997: Re: Hyst with prophylactic oophorectomy; Dr Braun

Re: Hyst with prophylactic oophorectomy; Dr Braun

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 20 Apr 1997 15:06:35 -0500 (CDT)

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In reply to: Judi: "Re: Hyst with prophylactic oophorectomy; Dr Braun"

At Fri, 18 Apr 1997, Judi wrote: >
>Those who have a family history of relatives with any combination of
>breast, ovary, and colon cancer
>> R.Daniel Braun, MD
>>
>I will soon be having a hyst for adenomyosis. I'm 32 Both family Dr and
>Gyn feel that I should leave my ovaries in and while I agree in that I
>definitely do not want to start menopause....I have reservations about
>leaving them in. I lost my father to widespread met adenocarcinoma-
>primary colon, several of his aunts died from same.

I'd leave the ovaries in, too. Your family history gives you an increased risk of colon cancer. Having colon cancer yourself (G-d forbid) would increase your chance for breast, ovary and uterine cancer. Lynch II is not common and is used as an example of genetic predisposition, not the common state of affairs in humans.

>His cousin has
>ductal breast ca. So far no one in my generation has been affected but
>after reading about Lynch II, I have concerns.

I understand your concern but at this time, with the history you have given, I feel it is unwarranted.

>I posted a few times
>late last month concerning having peritoneal cysts removed (Benign
>mesothelial containing serous fluid) I do trust my Drs', but this is a
>difficult decision. Do you know where I could find the type of info
>such as was presented? Are there specific tests I should request from
>time to time?

At age 40 you should begin routine colonoscopies every 3 years. Depending on the age your father developed colon cancer, you may need to start earlier. I normally get a baseline mammogram at age 35, but with a strong family history (and I don't feel your family history fills the criteria) I start at age 30 with the proviso that it is more difficult to get an accurate reading the younger you are. This is because the breast tissue is more dense and more difficult to see through.

>Be assured that I am not asking you to second guess. I
>just want to gather as much info as possible to make an informed
>decision with my doctor.
> Thank you for your time

You're welcome.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

Next message: Harvey S. Marchbein, M.D.: "Re: complete hysterectomy"
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In reply to: Judi: "Re: Hyst with prophylactic oophorectomy; Dr Braun"

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