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Re: Omental Nodules on CT From: Bernard Cristalli (bcrist@club-internet.fr) Mon Nov 24 03:23:43 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Omental Nodules on CT" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Omental Nodules on CT" Next in thread: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT" Reply: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT" Let's be clear, this is an ovarian ca. It has to be taken care of regularly according to your usual procedures. Bernard Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. a écrit : > At Mon, 24 Nov 2008, allanho@aol.com wrote: > >> 56 yo menopausal virgin admitted to the medicine service for right flank pain.? CT showed moderate ascites with a few small nodules on her omentum.? One of the nodules is near the tail of her pancreas.? Her ovaries were not enlarged.? Chemistry & CBC are all normal.? UA has 10-15 RBC and 1+ oxalate crystals.? History and Physical are otherwise unremarkable.? I think her right flank pain is from passing some non-obstructive renal stones.? She is scheduled to have a transvaginal ultrasound in the morning.? The internist is planning to do a paracentesis.? The neareast gyn oncologist is over two hours away.? >> >> What do you think of the following options? >> 1.? Diagnostic laparoscopy & biopsy if the paracentesis is non-diagnostic. >> 2.? Exploratory laparotomy with a general surgeon with BSO. >> 3.? Turf her to a gyn oncologist. >> >> Allan >> Central Pennsylvania >> > > You must have a really good CT machine, its not urgent send her to Gyn > Oncoloogist with experience in doing Laproscopic omentectomies. > > -- > Take care, John > Next message: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Omental Nodules on CT" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Omental Nodules on CT" Next in thread: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT" Reply: Garry E. Siegel, M.D.: "Re: Omental Nodules on CT"

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