41 yo, Adnexal Mass

From: Joanne Bulley (islesannie@yahoo.com)
Tue Jul 17 20:29:39 2001

41yo, G2P2, husband with vas. Woman exceedingly thin, easy to examine.

Has apparent lower abdominal lipoma. Surgeon starts to remove in office - appears to be a complex hernia. Rescheduled to OR.

OR exploration - complex mass in hernia resected and defect closed with mesh.

Path: cystic mass with endosalpingiosis and psammoma bodies, consider ovarian evaluation.

What would you do when called by the general surgeon about the meaning of the path report? 

--
Joanne Bulley, MD, FACOG
Keene, NH, USA



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