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Re: BSO without hysterectomyFrom: Henry Gregor (henrygregor@yahoo.com)Sat Feb 2 02:59:40 2008
Allan, seems to me I could agree two cases doesn't make a convincing definitive conclusion...but, given the rarity of the condition of Fallopian CA (How many listers have seen such cases? I have seen one in more years than I really want to 'fess up to, hehe), I'd lay the info out to the patients and call it part of their informed decision making process. Givne the surgical invasiveness and potential for complication those opting for prophylactic surgery are already assuming, if they have no strong feellings re uterine retention, I would honor their requests for a hysterectomy, assuming they have had benefit of risk benefit counseling. Hank allanho@aol.com wrote: Thanks for the abstract, John. However, the two patients in this study do not seem convincing enough to start doing hysterectomy on everyone. The lastest ACOG Practice Bulletin (#89, Jan 2008) still does not recommend doing a hysterectomy at the time of risk reducing BSO:
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