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Re: Endometrial CA From: art fougner, md (evsono@pipeline.com) Fri Oct 11 09:11:22 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barbara Nicol MD: "Lunelle recall" Previous message: art fougner, md: "Re: LEEP with Signet Ring Cells" In reply to: Michael J. Wolpmann, MD: "Re: Endometrial CA" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Endometrial CA" MRI is useful if the folks performing and reading are experienced in assessing depth of invasion - there is quite a learning curve phenomenon here. this brings up a philosophical question - is there any age above which we should consider a more laissez faire outlook on medical care - ie no more screening tests, symptom relief vs disease treatment, etc? art At Fri, 11 Oct 2002, Michael J. Wolpmann, MD wrote: > >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 > -- art fougner, md ich bin ein New Yorker Next message: Barbara Nicol MD: "Lunelle recall" Previous message: art fougner, md: "Re: LEEP with Signet Ring Cells" In reply to: Michael J. Wolpmann, MD: "Re: Endometrial CA" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Endometrial CA"

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