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Re: 41 yo, Adnexal MassFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Jul 18 10:13:46 2001
US of ovaries and if normal suggest surgeon evaluate thyroid. Probably of no significance. Psammoma bodies are only calcifeid pappillary projections. They mean there is a pappillary process going on. Have been most commonly associated with Pappillary adenoca of ovary and also of thyroid. But not diagnostic of either. Probably due in this case to calcifications of the papillae of the endosalpingiosis. Dan R. Daniel Braun, MD "If everybody likes you, you've got to be doing something wrong." Kinky Friedman -----Original Message----- From: islesannie@yahoo.com [mailto:islesannie@yahoo.com] Sent: Tuesday, July 17, 2001 8:32 PM 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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