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Re: Endometrial CA From: Efrain Ramirez (eramirezt@coqui.net) Thu Oct 10 18:37:56 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: 2 questions" Previous message: Efrain Ramirez: "Re: Puzzling case" In reply to: Dr. Ainsworth: "Endometrial CA" Next in thread: Dr. Ainsworth: "Re: Endometrial CA" Reply: Dr. Ainsworth: "Re: Endometrial CA" Gyn onco valuation.. > At Thu, 10 Oct 2002, 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. -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Efrain Ramirez: "Re: 2 questions" Previous message: Efrain Ramirez: "Re: Puzzling case" 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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