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Re: Endometrial CA From: Michael J. Wolpmann, MD (elvisdoc@comcast.net) Fri Oct 11 06:43:21 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Kathi Wilson: "Re: home based record" Previous message: Griffiths Malcolm: "Re: home based record" In reply to: Dr. Ainsworth: "Endometrial CA" Next in thread: art fougner, md: "Re: Endometrial CA" Reply: art fougner, md: "Re: Endometrial CA" Would get an MRI to confirm lack of invasion. With well differentiated Stage I adenoca, no indication of serosal invasion, would do TVH BSO and forget the node dissection...no benefit. Should final path upstage her, consider 5000 rads to pelvis, if patient concurs. These octagenarians will probably outlive us all. Good luck. Michael 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. -- Michael J. Wolpmann, MD, FACOG, FACS Next message: Kathi Wilson: "Re: home based record" Previous message: Griffiths Malcolm: "Re: home based record" In reply to: Dr. Ainsworth: "Endometrial CA" Next in thread: art fougner, md: "Re: Endometrial CA" Reply: art fougner, md: "Re: Endometrial CA"

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