-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Adencarcinoma de vias biliares y From: DoctorJoe@aol.com Wed Jul 24 12:17:40 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Which Progestin to use?" Previous message: Jesús: "Adencarcinoma de vias biliares y gestación" In a message dated 7/24/02 11:43:33, jdelc@viabcp.com writes: > Pciente joven con diagnÃ3stico de Denocrcinoma de VÃ-as Biliares con > metástasis intraabdominal, en mal estado, cursa con gestaciÃ3n der 23 > semanas.  cáncer no es tributario de radioterapia, solo quimio con mal > pronÃ3stico.  EvoluciÃ3n natural con riesgos de sepsis, obstrucciÃ3n > digestiva, sangrado, etc, con compromiso fetal consecuente.  Permitir > evoluciÃ3n natural nogarantiza buen desarrollo fetal, hay amenaza de > complicaiciÃ3n en la enfermermedad que serÃ-a desastoza para el feto. > Quimioterapia serÃ-a también fatal para el feto.  Qué hacer?.  creo que > serÃ-a una decisiÃ3n de los padres, pero los riesgos son grandes de una > complicaciÃ3n terminal.  agradeceré comentarios. > It would depend what type of chemotherapy is utilized for this specific tumor. Many agents are relatively benign to the fetus, especially this late in pregnancy. Of course, it is largely up to the patient, but how much chance do you think you have to try to get the baby to 28-29 weeks, or even 30-32 weeks, and deliver a viable (hopefully healthy) baby for this poor family? It's obviously going to be the ONLY baby this mother ever has. Joe P. Next message: Joanne Bulley, MD: "Which Progestin to use?" Previous message: Jesús: "Adencarcinoma de vias biliares y gestación"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:51:58 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.