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Re: bilateral ovarian cystsFrom: Robert Brenner (robbrenner@earthlink.net)Thu Mar 28 14:31:29 1996
At 09:15 PM 3/27/96 -0600, you wrote: > >> > Any thoughts on management of a 25 y.o. nulip (significant other with >> >vasectomy) referred by her family doc secondary to bilateral septated 13 >> >centimeter ovarian masses? She's not pregnant (molar or otherwise) and has >> >not used any ovulation inducing drugs. Other than a protruberant abdomen, >> >she is relatively assymptomatic. >> > >I would also consider germ cell tumours on my list of >differentials, since they are commonly bilateral and this is the right >age group. > >Dr Malpani, MD >Bombay, India >malpani@giasbm01.vsnl.net.in Most germ cell tumors are solid and unilateral, not cystic and bilateral. Certainly a serum AFP tumor marker and HCG might help in the preop diagnosis. I still vote for serous cystadenoma or low malignant potential serous tumor or endometrioma. Lets poll the group and then the surgeon can tell us what was found.
-- Robert Brenner MD FACOG Baltimore MD Robbrenner@earthlink.net
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