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Re: CA 125 and Serous ovarian tumor of low malignant potential From: John Robertson (jgmr@unixg.ubc.ca) Tue Jun 25 09:53:53 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: PLATT@CSMC.EDU: "Re: Patient STILL needs a Dr. in Prague" Previous message: T Dubose: "FW: Schubert's "HMO Symphony No. 4"" Maybe in reply to: Peter V. Weston, M.D.: "CA 125 and Serous ovarian tumor of low malignant potential" Would agree with Hugo, this is how I would manage the case as well. John G.M.Robertson B.Sc., MD,CCFP, FRCS[C], FSOGC 109-9181 Main St., Chilliwack, B.C., Canada, V2P 4M9 (604) 793-9988 e-mail jgmr@unixg.ubc.ca The best we can do for one another is to exchange our thoughts freely; and that, after all, is about all. James A. Froude (1818-1894) -- ---------- From: Hugo D. Ribot Jr.[SMTP:hribot@obdoc.is.net] Sent: Tuesday, June 25, 1996 2:38 AM To: Multiple recipients of list Subject: Re: CA 125 and Serous ovarian tumor of low malignant potential Peter: In this case I would treat the patient and her histology, not the lab test. I believe the specificity of CA-125 is much less reliable in premenopausal patients. Based on the path, I don't see a need for other serum markers, such as AFP or CEA. Now all this applies with the caveat that you have absolute confidence in your pathologist and their certainty regarding LMP tumors of the ovary, which can be hard to call. It sounds like you did a very reasonable approach. I believe there is still some debate/paranoia re: the appropriateness of adjuvant chemotherapy. I believe most would just follow clinically for recurrence. If at all an option, I would encourage her to get her childbearing out of the way. My $0.02 (not adjusted for inflation) Hugo -- Hugo D. Ribot Jr. MD FACOG Private practice Northwest Georgia Next message: PLATT@CSMC.EDU: "Re: Patient STILL needs a Dr. in Prague" Previous message: T Dubose: "FW: Schubert's "HMO Symphony No. 4"" Maybe in reply to: Peter V. Weston, M.D.: "CA 125 and Serous ovarian tumor of low malignant potential"

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