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Re: Two interesting cases in one day, your opinions please From: Bernard Cristalli (bcrist@club-internet.fr) Sat Jul 22 08:53:46 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: 6 wk check up" Previous message: Joanne Bulley, MD: "Re: Gyn: levator ani syndrome" In reply to: DoctorJoe@aol.com: "Re: Two interesting cases in one day, your opinions please" Next in thread: Steve & Eryl Raymond: "Re: Two interesting cases in one day, your opinions please" Reply: Steve & Eryl Raymond: "Re: Two interesting cases in one day, your opinions please" Operate now. Elective ilimited ncision with fenestration and emptying of the cyst (looks like it) avoiding to spill all over. You'll: 1. have a certain diagnosis 2. avoid an acute complication needing an emergency op 3. be able to schedule an elective treatment afterwards if needed. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France Bernard.Cristalli@CliniquedelEssonne.fr http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : DoctorJoe@aol.com > Répondre à : ob-gyn-l@obgyn.net > Date : Sat, 22 Jul 2000 07:55:20 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : Re: Two interesting cases in one day, your opinions please > > In a message dated 7/21/00 10:53:40 PM, drdanf@earthlink.net writes: > > << A 17 y/o G2 P1 at 26 wks with off/on right lower quadrant pelvic pain. > Crampy in nature, felt like gas pains to her. A certain dull ache always was > there, but got worse at times. Various GI meds didn't seem to help, so I had > an US done today looking for some uterine anomaly or perhaps a GU stone. > Well, the tech called me downstairs for this one. There is a 12X16cm > homogenous mass arising from the right adnexa. No ascites, the > liver,gallbladder, fetus, placenta, left adnexa are fine. This looks a lot > like a serous cystadenoma, and likely benign given her age, and the cyst > characteristics. What would you do? Surgery now or later at term? Would > you need to do a C/S if the cyst is a big water balloon? >> > > Get a second opinion about how benign it "looks"... if you all agree, then > wait. 26 weeks is a little late to operate, since she'll deliver in a > reasonably short period of time. > > OTOH, if anyone thinks it might NOT be benign, then take it out ASAP... but > leave lots of more invasive gyn-onc stuff (chemo?) until after delivery. > You'd have the path report to decide how bad it was and you could figure out > if she needed to be delivered early or not. > > Joe P. > Next message: Efrain Ramirez: "Re: 6 wk check up" Previous message: Joanne Bulley, MD: "Re: Gyn: levator ani syndrome" In reply to: DoctorJoe@aol.com: "Re: Two interesting cases in one day, your opinions please" Next in thread: Steve & Eryl Raymond: "Re: Two interesting cases in one day, your opinions please" Reply: Steve & Eryl Raymond: "Re: Two interesting cases in one day, your opinions please"

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