Re: borderline tumor after btl

From: art fougner, md (evsono@pipeline.com)
Thu Aug 31 05:41:55 2000


Malcolm -

why is referral against your better judgement?

art

At Thu, 31 Aug 2000, Griffiths Malcolm wrote: >
>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
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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