Re: bordeline malignancy

From: Joanne Bulley, MD (jbulley@cheshire.net)
Sat Feb 19 16:09:34 2000


I recently had one of these - a general surgeon and I took care of her. The articles reviewing this indicate that the APPENDIX is where the tumor arises - and goes to the ovary. I can get the papers to share here - they ar at the office and I am at home. But they were good review papers. The upshot would be - re-explore sooner than six months - to do the appendectomy and debulking and then pray. If maximal removal of myxomatous implants, then she may do quite well ore may have repeat obstructive bowel problemsand laparotomies due to pseudomyxomata peritonei. Chemotherapy is not warranted according to these authors.

--
Joanne Bulley

At Sat, 19 Feb 2000, Bernard Cristalli wrote: > >I had one in a 15 yo girl I presented on the list 3 or 4 weeks ago >(http://www.gyneweb.fr/sources/forum/gynelist/ovaire.htm). > >The final path was the same as yours. The decision was to leave things like >that, do a second look in 6 months (risk of peritoneal pseudomyxoma) and >remove the appendix. > >-- >Bernard Cristalli MD AMACOG >AIHP - ACCA > >De : blago56@evro.net Sat Feb 19 12:14:28 2000 >Objet : bordeline malignancy > After three days the final pathologic diagnosis - mucinous >cystadenoma with bordeline malignancy. >What to do? > >Thanks! >Dr Pehlivanov Blagovest >HMS -Plovdiv >Bulgaria >

--
Joanne Bulley, MD
Keene, NH




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