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Re: opinions/management suggestions From: art fougner, md (evsono@pipeline.com) Tue Feb 20 10:35:06 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: humbled by an ectopic" Previous message: art fougner, md: "Re: The Verdict on Jury Awards in 2000" In reply to: Griffiths Malcolm: "Re: opinions/management suggestions" Next in thread: J. Hellriegel: "Re: opinions/management suggestions" no indication for hysterectomy based on info provided. would go with sonohysterogram/hysteroscopy to r/o polyp and endometrial biopsy to exclude hyperplasia/carcinoma - findings unlikely in absence of bleeding. ovarian findings as described are quite common and unlikely to represent significant pathology. art At Mon, 19 Feb 2001, Griffiths Malcolm wrote: > >Personally I tend to go straight for scope in such patients, but I have no >evidence to support that approach. Your management seems perfectly sound. > >Seems odd to me to advise hysterectomy without having a tissue diagnosis. > >-----Original Message----- >From: K Dew [mailto:kdew@bellsouth.net] >Sent: 16 February 2001 23:15 >To: Multiple recipients of list OB-GYN-L >Subject: opinions/management suggestions > >47 yr old WF, G2P2, both c-sections, 18 months after lumpectomy for >intraductal breast cancer, currently on tamoxifen X 6 months. with the >following findings on ultrasound in December 2000 and last week. Ordered by >PCP > >normal size uterus, 1.3 cm endometrial thickness, 4.3 cm "sonolucent" ovary >both sides. No fluid, no papillary excrescences on the ovaries. > >She saw me today because the first doc she saw "took a look at the >ultrasound and scheduled a hysterectomy" > >She is aware of the risks of Tamoxifen. > >I did an endometrial biopsy today and have discussed that for peace of mind, >in the event of a normal tissue result from the biopsy we could consider >doing a diagnostic scope to further evaluate the ovaries. > >Am I way off here? > >Kevin Dew, MD >OB/GYN >Bardstown, KY -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: humbled by an ectopic" Previous message: art fougner, md: "Re: The Verdict on Jury Awards in 2000" In reply to: Griffiths Malcolm: "Re: opinions/management suggestions" Next in thread: J. Hellriegel: "Re: opinions/management suggestions"

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