Re: Adenocarcinoma of the uterus

From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Wed Oct 11 11:13:22 2000


Agreed 100%. Did exactly this in a younger but even heavier (195Kg) patient at beginning of this year.

-----Original Message----- From: Mario Colombo, MD [mailto:emmecol@tin.it] Sent: 11 October 2000 15:44 To: Multiple recipients of list OB-GYN-L Subject: R: Adenocarcinoma of the uterus

This seems a case of endometrial cancer in a patient at high operative risk. I would perform a vaginal hysterectomy (with BSO, if possible) and I would decide about postoperative radiotherapy on the basis of pathologic specimen and stage.

--
Mario Colombo, MD
Italy

Walquiria Primo wrote: > I have one patient with adenocarcinoma(Adenosquamous carcinoma,G3) of > uterus ,overweight(130 KG), 72 years old and diabetic. In your experience > what is the best approach? > -Radiaton therapy , only ? > -Total abdominal hysterectomy,bilateral

salpingo-oophorectomy,peritoneal > cytologic examination and pelvic and periaortic lymph node dissection and RT > ??? Or Vaginal Hysterectomy and RT(radiaton therapy)?? > Thanks, Walquiria Primo,MD. >

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