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Re: Endometrial CA From: Gail Waldby (gwaldby@willinet.net) Thu Oct 10 15:52:34 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Medmal-News Release from AIR" Previous message: Dr. Ainsworth: "Endometrial CA" In reply to: Dr. Ainsworth: "Endometrial CA" Next in thread: Dr. Ainsworth: "Re: Endometrial CA" Reply: Dr. Ainsworth: "Re: Endometrial CA" TVH BSO, formal final Path to determine whether staging necessary or TAH BSO intra-op Path exam to determine whether staging necessary. Has she been on Tamoxifen? Many elderly US women have unbelievably long life expectancies. I have operated on women as old as 115. Gail Waldby, MD Huron Clinic SD 10/10/2002 3:46:57 PM, ainsron@sbcglobal.net (Dr. Ainsworth) wrote: >88 yo woman with recent onset of bleeding, on no HRT. Small uterus on >TVUS with abnormally thickened endometrium. Biopsy showed well >differentiated adenoca of the endometrium. She has well-controlled >hypertension, dyslipidemia and angina. Also has Hx of bilateral >mastectomy 8 yrs ago for breast CA and no evidence of recurrence. Would >you: >1. TAH/BSO with nodes, etc. "the whole enchilada" 1-2 hours of >surgery, adequate staging. >2. TVH with BSO if possible. 30-45 minutes of surgery under spinal. >3. Megace. "Why bother with surgery, she is too old and fragile." >4. Radiation. Prevent further growth and bleeding, temporize until she >dies. > Next message: art fougner, md: "Re: Medmal-News Release from AIR" Previous message: Dr. Ainsworth: "Endometrial CA" In reply to: Dr. Ainsworth: "Endometrial CA" Next in thread: Dr. Ainsworth: "Re: Endometrial CA" Reply: Dr. Ainsworth: "Re: Endometrial CA"

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