Re: Implants (E2+T) and Breast Cancer

From: art fougner, md (evsono@pipeline.com)
Thu Jul 18 11:22:21 2002


since these implants are not accessible - options are limited - awaiting natural decline to imperceptible levels seems prudent. cancer needs treatment ala protocol du jour.

as an aside - we need to periodically ask ourselves the question posed during those WW II vintage warner bros cartoons - "Is This Trip Really Necessary?"

just my opinion - i could be wrong.

art

At Thu, 18 Jul 2002, Larry Glazerman wrote: >
>Really interesting question. We don't have those implants in the US, so I
>have no idea what I'd do
>
>At 03:51 AM 7/18/2002 -0500, you wrote:
>>I have a patient been using E2 100mg + T 100mg implants without problems
>>for 5+ years 9(post TAHBSO). She just turned 60. Usually gets 12-15
>>months. Last implants Sept 01. Recent mastectomy for receptor +ve
>>breast Ca. I think I've got no chance of finding/removing the implants
>>now as suggested by her surgeon. Question is.if she starts Tamoxifen
>>now (as suggested by surgeon and oncologist) will it block the E2 but
>>not the T resulting in hirsutism/virilism?? I figure this problem will
>>only go on another 3-6 months at most. I have checked her current E2
>>and T levels (results pending).
>>I've not had to consider this scenario in 17 years of priv prac before.
>>
>>--
>>Phil Watters FRANZCOG FRCOG
>>Hobart Australia
>>mynona@smartchat.net.au
>
>--
>Larry R. Glazerman, MD
>Ob-Gyn at Trexlertown
>610-402-0161
>l.glazerman@rcn.com
>

--
art fougner, md
ich bin ein New Yorker




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