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Re: GYN: Mouse antibodies/HCG From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Jul 28 19:55:03 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Anyone doing saliva hormone levels? Bio-identical hormone treatment?" Previous message: Garry E. Siegel, M.D.: "Re: GYN: Mouse antibodies/HCG" In reply to: RModugno@aol.com: "Re: GYN: Mouse antibodies/HCG" Next in thread: art fougner, md: "Re: GYN: Mouse antibodies/HCG" Reply: art fougner, md: "Re: GYN: Mouse antibodies/HCG" Reply: Richard Chudacoff, MD: "Re: GYN: Mouse antibodies/HCG -- Now choriocarcinoma" One more thing--I've seen a few case reports (malpractice ones) about giving chemo with an incorrect diagnosis of a trophoblastic tumor. While it wasn't a simple shot of methotrexate, I'm not ready to administer until this is fully investigated. Garry Robert: No doubt an abnormal pregnancy IF a pregnancy. I spoke with local hospital lab tech last night--she was familiar with this and suggests a UCG. This AM, UCG negative (HCG was 150 2 days ago, stable for 3 weeks). Hospital #1 lab guy suggests using their HCG machine--methodology to reduce cross reactivity. Hospital #2 lab girl says the same on their machine. Reference lab guy called and hasn't a clue, but the medical director is to call. Their catalog of tests offers a mouse antibody test. Once I hear from the lab doc, I'll likely send off the mouse test AND a hospital HCG. Garry At Wed, 28 Jul 2004, RModugno@aol.com wrote: > >In a message dated 7/27/2004 6:07:01 PM Eastern Standard Time, >garrys@mindspring.com writes: >I have inherited a case to deal with while my partner is on vacation; >details sketchy. > >32 YO P0 with positive UCG 7/8 in office, 7/8 spotted, HCG 150 approx., >progesterone 1.7. Had "menses" for a few days, and now is not bleeding, >asymptomatic, and still is running HCGs around 144 to 150 (all in the >same lab). > >While I don't know this for sure, I have no doubt that she has been >examined and it was benign. Ultrasound 7/23--empty uterus, normal >adnexa, trace free fluid. > >Is this a case where mouse antibodies might help? >Use a different lab (waiting to talk to the lab supervisor in one >hospital about this)? >Could this be a chronic ectopic? >Should I empty her uterus and go from there? > >The lab tech today (after 5 PM)at the hospital immediately suggested >doing a urine pregnancy test, and that is planned tomorrow. However, I >didn't realize that she had been positive in the UCG on 7/8. > >Any thoughts? > >Garry >Abnormal pregnancy. A shot of methotrexate couldn't hoit! >Emptying an 'empty" uterus will complicate things and if it's empty - then >what? > >Robert Modugno MD MBA FACOG >Marietta, GA >http://www.novaobgyn.yourmd.com -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Braun, R. Daniel: "Re: Anyone doing saliva hormone levels? Bio-identical hormone treatment?" Previous message: Garry E. Siegel, M.D.: "Re: GYN: Mouse antibodies/HCG" In reply to: RModugno@aol.com: "Re: GYN: Mouse antibodies/HCG" Next in thread: art fougner, md: "Re: GYN: Mouse antibodies/HCG" Reply: art fougner, md: "Re: GYN: Mouse antibodies/HCG" Reply: Richard Chudacoff, MD: "Re: GYN: Mouse antibodies/HCG -- Now choriocarcinoma"

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