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Re: Interesting pelvic mass From: ainsron@msn.com Mon Sep 11 13:31:41 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Interesting pelvic mass" Previous message: D. Ashley Hill, MD: "Referral for RV fistula in Georgia" In reply to: art fougner, md: "Re: Interesting pelvic mass" Next in thread: art fougner, md: "Re: Interesting pelvic mass" Reply: art fougner, md: "Re: Interesting pelvic mass" Probably worthless for most gyn differentials, even in the diagnosis of adenomyosis, the usefulness is questionable, depends on the expertise of the radiologist, diagnostic criteria are poorly defined. What difference in your management would it possible make? If this uterus is growing as rapidly as described, it needs surgical treatment and evaluation. Hopefully he can save this uterus if she strongly desires, but she needs to be prepared to deal with a hysterectomy. Additionally, trying to get an insurance company to approve an MRI in this case would be pretty tough, especially if its not going to affect management. >prior to the myomectomy, you might consider an MRI - this is the best >performing imaging nmodality in the diagnosis of adenomyosis. not sure >if it would discriminate between leiomyoma or leiomyosarc, especially in >a rapidly growing mass. > >art > >At Mon, 11 Sep 2000, Bernard Cristalli wrote: >> >>Do a myomectomy./ >> >>-- >>Bernard Cristalli MD AMACOG >>AIHP - ACCA >>Paris France >>Bernard.Cristalli@CliniquedelEssonne.fr >>http://www.CliniquedelEssonne.fr >>http://www.obgyn.net/corresp/cristalli.htm >>http://www.gyneweb.fr >>'64 Mk2 3.8 >> >>> De : smawdsley@ns.sympatico.ca (Scott Mawdsley) >>> Répondre à : ob-gyn-l@obgyn.net >>> Date : Sun, 10 Sep 2000 18:26:17 -0500 >>> À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> >>> Objet : Re: Interesting pelvic mass >>> >>> Pregnancy is ruled out. How would you rule out a sarcoma - that's my >>> concern. If that was ruled out, I'd put her on Lupron before >>> myomectomy. >>> >-- >art fougner, md > >A series of 1000 cases begins with but a single anecdote. > -- Ronald E. Ainsworth, MD Next message: Efrain Ramirez: "Re: Interesting pelvic mass" Previous message: D. Ashley Hill, MD: "Referral for RV fistula in Georgia" In reply to: art fougner, md: "Re: Interesting pelvic mass" Next in thread: art fougner, md: "Re: Interesting pelvic mass" Reply: art fougner, md: "Re: Interesting pelvic mass"

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