Re: Endometrial CA

From: Dr. Ainsworth (ainsron@sbcglobal.net)
Thu Oct 10 23:51:24 2002


That will probably be my choice. It is also her choice, but I'm waiting for evaluation by her cardiologist to see if he feels that she is good surgical candidate - because of the angina.

>why not vag hyst?
>
>art
>
>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.
>
>--
>art fougner, md
>ich bin ein New Yorker
>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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 04:52:29 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.