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Re: borderline tumor after btl From: mark decker (mdecker@nconnect.net) Sat Aug 26 19:46:10 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: mark decker: "Re: borderline tumor after btl" Previous message: LuFarn: "Suture material in uterus?" In reply to: chris stanley: "borderline tumor after btl" Next in thread: mark decker: "Re: borderline tumor after btl" ca 125 scope and be prepared to do hyst depending on results or 1 - 2 month ocps if ca125 normal if cyst gone no problem and 82% are normal anyway if cyst still present after 1-2 months of ocps 82% are not normal - out of speroff a couple editions back that's what i do i took a 10 cm endometrioma out fvia the scope 2 weeks ago and a 12 cm cyst out last week with original w/u with ca on the list - endo - drained and rtemoved as outpt if it looks benign - clean pelvis or endo io do the scope i have taken these out or done a uso and taken the cyst out via the vaginal with an incision posterior to the cervix the ugliest mass i ever say i just new was ca was benign but i did a full tahbso and omentectomy before the path came back all b9 on multiple multiple frozens - final path b9 too - and ca 125 benign too -- do want to be careful and selective i will extend the midline suprapubic incision and use a pleatmen sac or similar device with an intact ovary at times too the huge majority are b9 even in post menopausal pts where i will do a bilateral oophrectomy while i am there via the scope my experience over 11 yrs here in private practice mdmd At 06:12 PM 8/26/00 -0500, you wrote: >new patient 35 yo who during a tubal last year was noted to have a 5cm >"cyst" on right ovary. it was removed and the final pathology was >mucinous tumor of low malignant potential. was told "these things never >come back" and no further tx or surgery was offered or done. insurance >changed and now is my patient. >on exam she had a mass on the left and u/s shows a 5cm complex mass of >left ovary. > >would you: > consider her never staged and go to staging lap with hyst? > scope her, remove the ovary and hold on staging based on > final path? > lavh and await final path? > >-- >cj stanley, md facog >daytona beach, fl > Mark H Decker MD Ob-Gyn Mid West USA Multispecialty Clinic Next message: mark decker: "Re: borderline tumor after btl" Previous message: LuFarn: "Suture material in uterus?" In reply to: chris stanley: "borderline tumor after btl" Next in thread: mark decker: "Re: borderline tumor after btl"

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