Re: bilateral ovarian cysts

From: 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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