Re: 41 yo, Adnexal Mass
From: Joanne Bulley, MD (jbulley@cheshire.net)
Thu Jul 19 20:32:43 2001
Additional info -
The mass was ovarian onlly and there were no papillary projections into
the cyst - but there were little blebs on the external surface of the
ovary.
Joanne
At Thu, 19 Jul 2001, Braun, R. Daniel wrote:
>
>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
>
--
Joanne Bulley, MD
Keene, NH, USA
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