Re: second look laparotomy for ovarian cancer

From: DoctorJoe@aol.com
Sun Apr 28 20:12:32 2002


In a message dated 4/28/02 19:46:48, ovadoc@pris.ca writes:

<< I have a patient with Stage IB high grade serous adenoCA of ovary CA 125 was

8 before surgery( nl < 35). She refused chemo or even consult with the

oncologist. Instead, she stopped smoking and went on herbs. Now one year

later she has no evidence of disease by MRI and exam. Ca 125 undectectable

( I know the tumor does not make any of this marker). She does not want a

laparotomy. Any suggestions?

In a general sense, if a woman has a tumor that makes a marker and it

remains neagative after chemo; does she still need a second look? >>

I guess I'm missing the point. If her CA-125 was normal before, why is it significant now? If you're saying this cancer doesn't make CA-125, why say that "it remains negative" now? Is that significant at all?

Joe P.





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