Re: 41 yo, Adnexal Mass

From: Braun, R. Daniel (rbraun@iupui.edu)
Wed Jul 18 10:03:21 2001


I don't think I would explore without some other finding or indication.

R. Daniel Braun, MD

"If everybody likes you, you've got to be doing something wrong." Kinky Friedman

-----Original Message----- From: Charlie Chambers [mailto:cchamber@alumni.rice.edu] Sent: Tuesday, July 17, 2001 10:17 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 41 yo, Adnexal Mass

on 7/17/01 6:31 PM, Joanne Bulley at islesannie@yahoo.com wrote:

> 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

first, would like to examine her myself, and then imaging study of your choice to rule out any ovarian origin, and I would guess eventually, she would need to be explored. Could just be like ectopic endometriosis. Joanne, let us know what becomes of her.

--
######################
Charlie Chambers
Hood River, OR  USA

cchamber@alumni.rice.edu ######################





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:49:23 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.