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Re: How do you approach this one? From: Dr Eberhard Lisse (el@lisse.NA) Sat Jan 14 11:35:45 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: How do you approach this one? How will your treatment alter?" Previous message: RModugno@aol.com: "Re: Regional Differences" In reply to: Garry E. Siegel, M.D.: "Re: How do you approach this one?" Next in thread: D. Ashley Hill: "Re: How do you approach this one?" Garry, you are a spoilsport :-)-O on 1/14/06 6:50 PM Garry E. Siegel, M.D. said the following: > El, she was pre-menopausal, and wanted her ovaries removed for cancer > prevention!!! I do not think that this is accepteable. > The EUA might help me decide whether I thought I could proceed vaginally > or not--thus, performing an EUA--takes about 2 minutes, costs nothing, > has no inherent downside--is a procedure that might have changed > management. Why would you NOT do it? EUA is a separate procedure where I come from. And unaccepteable. But examining before one starts the hysterectomy is quite different. >From the context it was not at all clear. I disagree it makes much difference as to management, over the clinical exam and ultrasound, but then I prefer the abdominal (Joel-Cohen) approach. I also would not feel comfortable changing management (in this context) with the patient under anesthetic. And as you have seen, the MRI does not impress much. Couldn't tell the origin or the content. Nevermind whether it is pedunculated. el Next message: GA12L@aol.com: "Re: How do you approach this one? How will your treatment alter?" Previous message: RModugno@aol.com: "Re: Regional Differences" In reply to: Garry E. Siegel, M.D.: "Re: How do you approach this one?" Next in thread: D. Ashley Hill: "Re: How do you approach this one?"

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