Re: Gyn: Breast Cancer/prophylactic oophorectomy/Vaginal Estrogen
From: Andrew Folley (agfolley@hotmail.com)
Wed Dec 13 10:31:20 2006
Indication for TAH BSO is the size of her uterus in this case. Not th
ebreast cancer history.
>From: "M.T Hatta" <drhatta@hotmail.com>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Gyn: Breast Cancer/prophylactic oophorectomy/Vaginal Estrogen
>Date: Tue, 12 Dec 2006 17:45:06 -0600
>
>A 47 year old patient of mine has Stage 2 Breast Cancer, Mastectomy done.
>No BRCA genes results. She also has Uterine fibroids of 22 weeks size. Any
>indication for Hysterectomy & Oophorectomy. what about the use of Tibolone
>post op for symptomatic relieve?
>
>drhatta
>
>>From: "Andrew Folley" <agfolley@hotmail.com>
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: Gyn: Breast Cancer/prophylactic oophorectomy/Vaginal Estrogen
>>Date: Sun, 10 Dec 2006 13:30:47 -0600
>>
>>There is no indication for prophylactic oophorectomy in postmenopausal
>>woman withwith either a personal or family history of Breast cancer.
>>Only when 2 primary members have ovarian caner could you make the argument
>>or if patient is BrCA 1 or 2 postive.
>>
>>>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>>>Reply-To: ob-gyn-l@obgyn.net
>>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>>Subject: Re: Gyn: Breast Cancer/prophylactic oophorectomy/Vaginal
>>>Estrogen
>>>Date: Sat, 9 Dec 2006 21:02:17 -0600
>>>
>>>No BRCA results--not done.
>>>
>>>She is 59 with a family history that wouldn't normally warrant that
>>>testing.
>>>
>>>Garry
>>>
>>>At Sat, 09 Dec 2006, Bernard Cristalli wrote:
>>> >
>>> >Right.
>>> >Have you got the BRCA1 & 2 results?
>>> >If they're normal her risk is not above the average risk. Of course to
>>> >remove the ovaries will lower her risk, but why then won't we remove
>>>all
>>> >the ovaries we see (in post-menaupausal women)?
>>> >Bernard
>>> >
>>> >Garry E. Siegel, M.D. a écrit :
>>> >
>>> >>Prophylactic for the increased risk of ovarian cancer in someone with
>>> >>breast cancer.
>>> >>
>>> >>Garry
>>> >>
>>> >>At Sat, 09 Dec 2006, Bernard Cristalli wrote:
>>> >>
>>> >>>So what's the rationale of this ovariectomy?
>>> >>>BC
>>> >>>
>>> >>>Garry E. Siegel, M.D. a écrit :
>>> >>>
>>> >>>>No.
>>> >>>>
>>> >>>>At Sat, 09 Dec 2006, Bernard Cristalli wrote:
>>> >>>>
>>> >>>>>Is there any ovarian cancer history in the family?
>>> >>>>>BC
>>> >>>>>
>>> >>>>>Garry E. Siegel, M.D. a écrit :
>>> >>>>>
>>> >>>>>>59 YO P2002
>>> >>>>>>On Prempro by choice
>>> >>>>>>6/06--lumpectomy, negative sentinel node, early stage breast
>>>cancer
>>> >>>>>>treated with postop RT, no chemo, now on Arimidex.
>>> >>>>>>
>>> >>>>>>Her mother, in her 80s, was diagnosed AFTER the patient, and there
>>>is no
>>> >>>>>>other family history.
>>> >>>>>>
>>> >>>>>>She asked about prophylactic oophorectomy.
>>> >>>>>>
>>> >>>>>>Any thoughts welcome?
>>> >>>>>>
>>> >>>>>>On another front, do y'all prescribe vaginal estrogen products
>>>(Vagifem,
>>> >>>>>>etc.) for symptomatic menopausal patients with breast cancer? I
>>>do,
>>> >>>>>>though many patients are clearly spooked and won't think of using
>>>them.
>>> >>>>>>
>>> >>>>>>Garry
>>> >>>>>>
>>> >>>>>>--
>>> >>>>>>Garry E. Siegel, M.D.
>>> >>>>>>Private Practice
>>> >>>>>>Roswell, GA
>>> >>>>>>
>>> >>>>--
>>> >>>>Garry E. Siegel, M.D.
>>> >>>>Private Practice
>>> >>>>Roswell, GA
>>> >>>>
>>> >>--
>>> >>Garry E. Siegel, M.D.
>>> >>Private Practice
>>> >>Roswell, GA
>>> >>
>>>
>>>--
>>>Garry E. Siegel, M.D.
>>>Private Practice
>>>Roswell, GA
>>
>
>http://toolbar.msn.com.my/
>
