WOMENS-HEALTH Messages for March, 1998: Re: Fibroids and Cancer Question

Re: Fibroids and Cancer Question

From: Robert Radnich, M.D. (anonymous@obgyn.net)
Tue, 31 Mar 1998 20:14:07 -0600 (CST)

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In reply to: anonymous: "Fibroids and Cancer Question"

At Tue, 31 Mar 1998, EMM. wrote: >

Not knowing your history, etc., I probably shouldn't comment. My gut feeling is that you need to find another GYN.

It is not standard policy to do a myomectomy/frozen section and subsequent hysterectomy. I'm not sure why your GYN put that fear in your head. There is no good way of predicting preoperatively which will be malignant. The growth rate, etc. is not helpful. But as you said, the chance of malignancy is less than 0.5%

>I'm the person who (confused in Phoenix)
>asked about my upcoming TAH next week. I got
>all my tests in and my endo biopsy came back normal.
>I asked my doctor some questions (sent her a fax
>and follow up phone call) and she would not
>anser them, told me I had too many questions.
>The only thing she would say is I need a
>hysterectomy because:
>-- my 12 yr old asymptomatic
> fibroid started growing in the last year
> (note this is based on her one "feel" comparing it
> to what was described by the u/s)
>-- I had mild dysplasia in 1991 with no recurrence.
>-- CA-125 of 80 (which I understand is normal in presence
> of big fibroid.)
>
>She then refused to treat me any further (this is fine with me, I will
>not be operated on by someone who won't answer
>simple questions.) She recommended I see an oncologist.
>
>I understand that fibroids rarely turn cancerous. Is it
>not standard procedure if doing a myomectomy to biopsy
>the fibroid, then do a hysterectomy (quite understandably)
>if it is cancerous? Am I missing something here?

--
R.H. Radnich,MD,FACOG
OB/GYN Associates of Dover
540 S. Governors Ave.
Dover, Delaware 19904

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