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Re: histerectomy with fetus in.From: DoctorJoe@aol.comWed Aug 30 22:13:05 2000
In a message dated 8/30/00 8:22:34 PM, clbmtoc@telcel.net.ve writes: << I would like too see your opinions about this particular case : 34 years old, three gestations one of them twins, eclampsia in last gestation complicated with a severe puerperal miocharditys (one year ago).In this moment with cardiovascular repercution.The recent pap smear shows Intraepithelial neoplasy III,and at colposcopy atipical epithelium is seen. A few months ago a Conobiopsy was made and indicated NIC III, the lesion edge is not mentioned.She desperatly doesnt want to be pregnant but she´s carryng a ten weeks gestation. In this particular case do you agree ( if cardiovascular condition allows it) to pratice a inblock histerectomy ?? do you agree with the histerectomy. Would you separate the obstetric situation from oncological? >> In theory, yes, separate the obstetrical situation from the oncological problem. In this case, there is no CANCER, so you can wait until AFTER delivery for any surgical intervention. In practice, people don't do this... It's an individual thing, I guess. I personally would WAIT. Joe P.
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