Re: borderline tumor after btl

From: mark decker (mdecker@nconnect.net)
Sat Aug 26 19:47:54 2000


you could do a tahbso while you are there if you need to go in because once you are there and if she wants no more childbearing that is also an option - once you need to make a laparotomy incision but i wouldn't make one without "cause" shown first by laparoscopy imo\

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





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