Re: GYN: Suspected ovarian Cancer

From: art fougner, md (evsono@pipeline.com)
Thu Mar 22 07:27:12 2001


Garry -

if effusion is eminently tappable - then do so.

Joe -

MRI??? what about ultrasound - much cheaper and probably more specific here.

art

At Wed, 21 Mar 2001, DoctorJoe@aol.com wrote: >
>In a message dated 3/21/01 9:07:31 PM, garrys@mindspring.com writes:
>
><< I received a call from an internist about a mutual patient, a 49 YO
>P2002, s/p TVH years ago (menorrhagia) who had RUQ vague pain. Normal
>gyn exam by me about a month ago.
>
>W/U led to a CT showing a right pleural effusion, "plump" ovaries (4 to
>5 cm) with cystic stuff, and a mesentery that looked mottled. . .all
>suggesting Ovarian Cancer.
>
>Unless I'm missing something, any reason not to do a thoracentesis to
>look for a malignant effusion? >>
>
>Any fluid in the peritoneal cavity? Anyone done an MRI?
>
>Joe P.

--
art fougner, md

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





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