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Re: Endometrial CA From: Dr. Ainsworth (ainsron@sbcglobal.net) Thu Oct 10 23:56:10 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Tony Blair: "Re: Puzzling case" Previous message: Dr. Ainsworth: "Re: Endometrial CA" In reply to: Efrain Ramirez: "Re: Endometrial CA" Next in thread: Efrain Ramirez: "Re: Endometrial CA" Reply: Efrain Ramirez: "Re: Endometrial CA" She doesn't want to travel 2 hours to see one, plus the last patient I sent them took over a month to get in. They are either too busy or don't seem to care much for referrals out of their immediate area. Besides, I should be able to do the surgery (TVH) as easy as they can. Most gyn oncs I have met are great in the abdomen for bowel resections, radical surgery, etc. However, I have probably done more TVHs than they have. If nodes are necessary because of deep penetration, I can always refer later for lymphadenectomy. >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: Tony Blair: "Re: Puzzling case" Previous message: Dr. Ainsworth: "Re: Endometrial CA" In reply to: Efrain Ramirez: "Re: Endometrial CA" Next in thread: Efrain Ramirez: "Re: Endometrial CA" Reply: Efrain Ramirez: "Re: Endometrial CA"

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