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Re: 41 yo, Adnexal Mass From: Braun, R. Daniel (rbraun@iupui.edu) Thu Jul 19 06:38:40 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: retained ovary in 30 yo" Previous message: Braun, R. Daniel: "Re: current yeast problem patient - saccharomyses" Maybe in reply to: Joanne Bulley: "41 yo, Adnexal Mass" Next in thread: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Marco A. Pelosi, III, MD: "Re: 41 yo, Adnexal Mass" Was this mass ovarian or tubal? If ovarian, I doubt related to the endosalpingiosis and just a coincidental finding. Were there papillary projections in the cystadenoma? If not, I doubt related to the psammoma bodies. Why LSO? Why not TAH BSO in a 41 y/o with an epithelial adnexal mass? 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: Wednesday, July 18, 2001 10:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 41 yo, Adnexal Mass Physical exam - VERY thin, easy to examine woman - palpable smooth cystic mobile 6 cm left ovarian mass. remainder of pelvis without abnormality. U/S - 6 cm complex L adnexal cystic structure. No ascites or other abnormality. Laparoscopy confirms - but - accessibility of ligaments not easy. Laparotomy with LSO - fresh/frozen evaluation consistent with cystadenoma without malignancy. Expect final path tomorrow. Home about 24 hours post op. Joanne PS: the main thing with the personalities and toe stepping was peeling the patient off the cieling after she was abruptly told by and unknown nurse she had ovarian Ca. At Wed, 18 Jul 2001, art fougner, md wrote: > >personalities and toe-stepping aside - endosalpingiosis can be >associated with serous tumors of low malignant potential - therefore - >at least an ultrasound at least is warranted and possibly a consult with >a gyn oncology type for thoughts on further w/u and surveillance. > >art > >At Wed, 18 Jul 2001, Griffiths Malcolm wrote: >> >>-----Original Message----- >>From: islesannie@yahoo.com [mailto:islesannie@yahoo.com] >>Sent: 18 July 2001 04:52 >>To: Multiple recipients of list OB-GYN-L >>Subject: Re: 41 yo, Adnexal Mass >> >>After getting the path report, the surgeon (in a multispecialty group) >>asked a med student working in the gyn department to ask a gyn to get >>back to her (the surgeon) about what the next step might be. The >>surgeon knew I was the patient's gyn doc. >> >>The next thing that happened was a nurse from the gyn dept called the >>patient to say - "We have your US scheduled to evaluate your ovarian >>cancer" >> >>Needless to say - the surgeon was unhappy that no-one had gotten back to >>her and that the patient was communicated with in this manner! >> >>--- >> >>Sounds to me that the surgeon didn't actually behave quite correctly >>himself. I would view the way the report was dealt with as rather >>unprofessional! >> >-- >art fougner, md > >A series of 1000 cases begins with but a single anecdote. > -- Joanne Bulley, MD, FACOG Keene, NH, USA Next message: Braun, R. Daniel: "Re: retained ovary in 30 yo" Previous message: Braun, R. Daniel: "Re: current yeast problem patient - saccharomyses" Maybe in reply to: Joanne Bulley: "41 yo, Adnexal Mass" Next in thread: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Joanne Bulley, MD: "Re: 41 yo, Adnexal Mass" Reply: Marco A. Pelosi, III, MD: "Re: 41 yo, Adnexal Mass"

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