Re: Information: Curriano's triad?
From: Braun, R. Daniel (rbraun@iupui.edu)
Mon Jul 1 07:01:01 2002
I can't find the Triad, but it is inherited from a gene on the end of
the long arm of Chromosome 7 according to the Human Genome project web
site.
Dan
-----Original Message-----
From: Rafael Haciski MD [mailto:haciski@earthlink.net]
Sent: Sunday, June 30, 2002 11:57 PM
To: Multiple recipients of list OB-GYN-L
Subject: Information: Curriano's triad?
I was called by a colleague for GYN management ideas in a patient with
"Curriano's triad." I do not have any details yet about this patient's
particular problems, but reaching into my memory for this "tirad", I
came up
with cobwebs only.
Following a failed initial search, I thought I'd tap the cumulative
brainpower of the the list members for some info about this congenital
condition.
Thanks in advance for any feedback here or by direct e-mail.
--
Rafael Haciski, MD
Baltimore, Md.
haciski@IVF-MD.com
> From: "Braun, R. Daniel" <rbraun@iupui.edu>
> Reply-To: ob-gyn-l@obgyn.net
> Date: Sun, 30 Jun 2002 08:39:56 -0500
> To: Multiple recipients of list OB-GYN-L
<ob-gyn-l@mail.medispecialty.com>
> Subject: RE: opinion
>
> -----Original Message-----
> From: Harold Narain.MDFacog [mailto:koepasa@hotmail.com]
> Sent: Saturday, June 29, 2002 10:42 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: opinion
>
> A 37 year old G1,ab1 referred by FamMD with Abd.Pain,mass ,myoma?
>
> Exam 22 wks size uterus vag echo massive myomatosus.
>
> No Hx of abn.bleeding Hb.14.3 g/dl
>
> Strong desire for future fertility was expressed.
>
> One month after Lupron 3.75 mg x 1 (pain decreased,minimal size
> change),a laparotomy via a liberal vertical incision was performed.
>
> Unfortunately, the uterus massively destroyed by multiple myoma's(
> 3)largest 10 cm in diameter),had to be removed (TAH)with unremarkable
> post course
> except for an angry pat claiming to have consented for myomectomy
only(
> Caribbean Island ..verbal consent customary)and that a hysterectomy
was
> unneccessary performed!.
>
> In 35 years, I have never seen a uterus "massively destroyed" by
> leiomyomatas. The muscle may be displaced by fibroids, but it isn't
> destroyed. I have not had a case where a myomectomy with uterine
> preservation could not be accomplished. Oh NO, I'm going to have one
> this week.
>
> A complaint filed with the local Medical Supervisory board,consisting
> of: an attorney(,chairman), 2 physcicians(prof Int Med.general
> surgeon)members decided that:
> "The expeditious fashion for laparotomy/hysterctomy was oncalled for.
> Pat needed some more preliminary studies in particular curretage
and/or
> hysteroscopy"
> Path report;uterus of 9x12x7 cm without adnexum,400 gram 3
> subserous/submucous leiomyomas largest #10 cm.
> Question #1 normal mensis..need for curretage.
>
> Obviously rec. by the Internist.
>
> Qustion #2Do you feel that any abscentee expert in this given
> situation.."convincingly",can conclude that removal was not
indicated.I
> had explicit request for picture talking(not done) with submission of
> specimen
>
> Should at least be OBGYN's.
>
> Hope for an expeditious reply ...
>
> I remain
>
> Harold Narain.Md Facog
>
> Dutch Carribean
>
