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Re: Omental Nodules on CT From: Efrain Ramirez (eramirezt@coqui.net) Tue Nov 25 10:34:07 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "OT: The Good Old Days" Previous message: art fougner, md: "Re: Omental Nodules on CT" In reply to: allanho@aol.com: "Omental Nodules on CT" Next in thread: aditi desai: "Re: Omental Nodules on CT" I would like to know her Ca125 BUT anyway this cancer - ovarian or pancreatic - whatever - if it not an emergency a referral to a good Gyn Onco is my advice...good luck. Ef 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 -- "I can accept failure, but I can't accept not trying." - Michael Jordan Next message: Dean Huffman: "OT: The Good Old Days" Previous message: art fougner, md: "Re: Omental Nodules on CT" In reply to: allanho@aol.com: "Omental Nodules on CT" Next in thread: aditi desai: "Re: Omental Nodules on CT"

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