Re: questions

From: Efrain Ramirez (eramirez@icepr.com)
Sun Feb 27 17:09:59 2000


I am not questioning the indication -- just the findings postop. My preop diagnosis would have been something like "symptomatic uterine fibroids". For what I have seen Charlie (?) made the right decision.

At Sun, 27 Feb 2000, Paul Prior MD wrote: >
>On Sun, 27 Feb 2000 14:23:50 -0600, eramirez@icepr.com (Efrain
>Ramirez) wrote:
>
>>Myomas/adenomyosis should be there somewhere...weird.
>>
>>At Sun, 27 Feb 2000, charlie chambers wrote:
>>>
>>>on 2/26/00 4:01 PM, Efrain Ramirez at eramirez@icepr.com wrote:
>>>
>>>> At Sat, 26 Feb 2000, charlie chambers wrote:
>>>>>
>>>>> two questions for the group:
>>>>>
>>>>> 1. after preoperative treatment of a patient with a GnRH agonist for 2
>>>>> months for leiomyoma, is it possible to not have pathologic evidence of
>>>>> leiomyoma in the hysterectomy specimen?
>>>>
>>>> What were the symptoms -- bleeding - size - pain? - how much did the
>>>> uterus weigh -- no adenomyosis?
>>>
>>>patient with pain and menometrorrhagia. No adenomyosis noted. After 2 months
>>>of Lupron, uterine weight 200 gms.
>
>200 gram uterus, no "pathology" - does it really matter? Sometimes I
>think we spend far too much time trying to explain ourselves. The
>woman has an obviously enlarged uterus, she has symptoms, you fixed
>them. Why does (should!) it really matter?
>
>--
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