|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Laryngeal Carcinoma and PregnantFrom: Geff Klein (gklein@bcm.tmc.edu)Wed Apr 3 16:28:20 1996
Ben Taub will always supply interesting cases... I would like to present this one for discussion: 34 y/o G3P3A0LC2 at 25 weeks gestation presenting for continued prenatal care at our high risk clinic... On 3/1/96 she underwent total laryngectomy, bilateral radical neck dissection, and partial thyroidectomy for a squamous cell carcinoma of the larynx. Final staging T4N3 (stage 4 disease) She is now left with a permanent tracheostomy and a feeding tube. Prior medical history is significant for cardiac surgery at 7 for a "hole in the heart". No current cardiac symptoms... OB history significant for SVD, C/S for breech, and a VBAC (third child died of "crib death" at 3 months) Radiation oncologist wants to proceed directly with XRT, but patient is unaware of her survival with or without radiation. Additionally, she is unaware if XRT is delayed until a more mature fetus is prematurely delivered (ie 32 weeks) how that might adversely affect her survival.. We are planning radiation onc and perinatal cnference to discuss these issues and offer recommendations.. Any thoughts out there? (I am in the process of a lit search...) Geffrey H. Klein, MD Baylor College of Medicine Dept of Obstetrics and Gynecology listowner: OB-GYN-L gklein@bcm.tmc.edu http://www.bcm.tmc.edu/obgyn/obgyn-ce/geff.html
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:16:29 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.