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Re: Omental Nodules on CT From: Garry E. Siegel, M.D. (garrys@mindspring.com) Mon Nov 24 07:10:15 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Omental Nodules on CT" Previous message: Bernard Cristalli: "Re: Omental Nodules on CT" In reply to: Bernard Cristalli: "Re: Omental Nodules on CT" Next in thread: rmodugno@aol.com: "Re: Omental Nodules on CT" Why not talk to the gyn onc and get his/her input? Absent that, I agree with Bernard that it sure looks like ovarian cancer. Why not consider a diagnostic laparoscopy with appropriate biopsy? If diagnostic, then you'll know what to do. Garry At Mon, 24 Nov 2008, Bernard Cristalli wrote: > >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 >> -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: DoctorJoe@aol.com: "Re: Omental Nodules on CT" Previous message: Bernard Cristalli: "Re: Omental Nodules on CT" In reply to: Bernard Cristalli: "Re: Omental Nodules on CT" Next in thread: rmodugno@aol.com: "Re: Omental Nodules on CT"

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