Re: Omental Nodules on CT

From: aditi desai (draditidesai@yahoo.co.uk)
Sun Nov 30 09:46:57 2008


I would do  CEA -for bowel Ca Ca 19-9 for evidence of pancreatic/mucinous Ca Cytology of the paracentesis fluid

Aditi Desai Consultant Gynaecologist UK

________________________________ From: "Joanne Bulley, MD" <islesannie@gmail.com>=0ATo: Multiple recipients of = ant Gynaecologist UK

________________________________ Frolist OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Tuesday, 25 November, 2008 2:21:02 Subject: Re: Omental Nodules on CT

I agree that although ovarian primary is highly suspicious with the ascites and omental nodules, I really think with normal appearing ovaries, other etiologies have to be considered.  With the pancreatic nodule, I would think that has to be considered.  Has the internist or general surgeon ordered any serology that might point to pancreas?

I also agree with others on calling your consulting gyn & general oncologist.

Joanne

At Mon, 24 Nov 2008, allanho@aol.com wrote: >
>I got a good look at the ovaries and uterus because of all the ascites around it.? They looked completely normal with smooth contours.? The appendix looked normal too on CT.? CA-125 is not back yet.? I am inclined to think this is not from an ovarian origin at this time.
>
>Allan

--
Joanne Bulley, MD
solo gyn
Keene, NH




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