Re: adenomyosis , US,MRI,uterine miosarcoma
From: art fougner, md (evsono@pipeline.com)
Wed Feb 14 09:32:06 2007
I know of at least one case in which leiomyosarcoma was NOT diagnosed by
MRI. In fact, the tumor, initially diagnosed as leiomyoma, was first
treated with GNRH agonist with minimal response. This sarcoma is truly
frightening.
Art
At Wed, 14 Feb 2007, emilio porro wrote:
>
>I am curious if there is experience in the use of MRI in the diagnosis of uterine miosarcoma,a women's fast ,furious and silent killer with only clinical suspect when rapid increase of presumed uterine fibroids.
>Yours faithfully
>Emilio Porro
>Como-Italy
>http://www.sanbonaventura.com
>
>From: evsono@pipeline.com (art fougner, md)Reply-To: ob-gyn-l@obgyn.netTo: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>Subject: Re: adenomyosis and USDate: Tue, 13 Feb 2007 15:18:53 -0600>More than likely, this is another in a long series of Insurance 3 Card>Monte scams.>>Just my opinion - I could be wrong.>>Art>>At Tue, 13 Feb 2007, Atkinson, Samuel M wrote:> >> >There are published articles on the use of ultrasound to look for> >adenomyosis signs suggesting but not diagnostic of adenomyosis. A> >former resident is supposed to be collating findings and writing another> >article about studies we have done here at Brody
>SOM. MRI is highly> >accurate in diagnosing adenomyosisl. We have been very surprised when> >MRI's have been ordered for various reasons and have a good radiologist> >report that there is adenomyosis present and have subsequently found it.> >There are also reports that MRI is very good in distinguishing> >leiomyomas from adenomyomas. It is> >ironic that insurance companies do not want to prior approve> >hysterectomies with a diagnosis of adenomyosis by ultrasound that we> >cannot prove without a big biopsy but also want to use US findings to> >not insure pt.> >Are they choosing to Not insure her at all? Or just exclude future> >hysterectomy from coverage. If it is the former, she has some other> >factor, such as excess utilization of
>services is also going on.> >sAm> >> >-----Original Message-----> >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joanne> >Bulley, MD> >Sent: Tuesday, February 13, 2007 2:32 PM> >To: Multiple recipients of list OB-GYN-L> >Subject: Re: adenomyosis and US> >> >Thanks everyone.> >> >She has never been without insurance and will have no lapse between> >insurers. With the HIPPA law - there is "supposedly" a requirement to> >be able to get insurance - under the "portability" clauses. Her local> >Anthem BlueCross accepted her with the same US report a few years ago.> >> >So it appears it is against even the HIPPA law for them to deny her this> >coverage. Especially
>as this BCBS did not "rate" for the prioir US -> >why should another BCBS product deny her (they didn't even offer a> >"rated" - hight cost - plan).> >> >As we all know: the insruance companies do whatever they want and it> >doesn't have to be reasonable or fair.> >> >Joanne> >> >At Tue, 13 Feb 2007, Richard Chudacoff, MD wrote:> >>> >>like they need a reason to deny her coverage?> >>> >>--> >>Richard Chudacoff, MD, FACOG> >>-sent from my Treo 650> >>> >--> >Joanne Bulley, MD, FACOG> >Solo gyn> >Keene, NH USA> >>>-->art fougner, md>"May The Wings of Liberty Never Lose a Feather." - Jack Burton<br
>clear=all>Express yourself instantly with MSN Messenger! MSN Messenger Download today it's FREE!
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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