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Re: second look laparotomy for ovarian cancer From: Garry Siegel (garrys@mindspring.com) Sun Apr 28 20:50:32 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry Siegel: "Re: Twins case part I" Previous message: DoctorJoe@aol.com: "Re: second look laparotomy for ovarian cancer" In reply to: DoctorJoe@aol.com: "Re: second look laparotomy for ovarian cancer" Next in thread: Greg Le Toubib: "Re: second look laparotomy for ovarian cancer" Greg: If you normally care for a gyn cancer case alone (I bet not), then do whatever you think best. If she won't follow your recommendations, best to do nothing--meaning don't do what she wants unless it agrees with what you think is medically sound. If gyn oncology is available, I would insist that she have a consultation. Let us know. Garry At Sun, 28 Apr 2002, DoctorJoe@aol.com wrote: > >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. -- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice Next message: Garry Siegel: "Re: Twins case part I" Previous message: DoctorJoe@aol.com: "Re: second look laparotomy for ovarian cancer" In reply to: DoctorJoe@aol.com: "Re: second look laparotomy for ovarian cancer" Next in thread: Greg Le Toubib: "Re: second look laparotomy for ovarian cancer"

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