Re: Endometrial CA

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Thu Oct 10 17:16:09 2002


If a young, active 88 yo, TVH. If an old, inactive 88 yo Megace or radiation.

--
Richard Chudacoff, MD

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Dr. Ainsworth Sent: Thursday, October 10, 2002 3:47 PM To: Multiple recipients of list OB-GYN-L Subject: Endometrial CA

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.





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