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Re: 41 yo, Adnexal MassFrom: Myer Bornstein (mborn@massmed.org)Wed Jul 18 08:20:24 2001
I have had a number of patients with the diagnosis of endosalpingosis. Endosalpingosis is abnormal placement of fallopian tube epithelial cells. For my review all the literature, you treat it the same way as endometriosis. One patient developed an ovarian mass, and at surgery had low grade serous adenocarcinoma of the ovary. She had appropriate surgical therapy and is now seven years post surgery without any recurrence. I would agree with the workout as presented with AC 8-1 25, ultrasound and/or CAT scan. With appropriate therapy as indicated. Myer -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne Bulley Sent: Tuesday, July 17, 2001 21:31 To: Multiple recipients of list OB-GYN-L Subject: 41 yo, Adnexal Mass 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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