Re: borderline tumor after btl

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Thu Aug 31 03:16:57 2000


Depends on patients wishes but I would recommend full staging and TAH & BSO & Omental biopsy. In my practice I'd probably be obliged to refer her to a gynae-oncologist (but against my better judgement!).

-----Original Message----- From: nd84md@aol.com [mailto:nd84md@aol.com] Sent: 27 August 2000 00:12 To: Multiple recipients of list OB-GYN-L Subject: borderline tumor after btl

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

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