Re: Ovarian Torsion

From: Geffrey H Klein, MD (gklein@bcm.tmc.edu)
Sat Jun 29 17:55:05 1996


>In the UK mostly our histologists are reluctant to give a defnitive
>diagnosis on frozen section of ovarian lesions. They are especially
>reluctant to be definite about a tumour being benign. In a woam of this
>age there can be no advantage to conserving the uterus and other ovary (
>though I admit that completing the clearance may contribute slightly to
>increased of postoperative morbidity ). All that can be said of the
>contralteral ovary is that the bit your histologist looked at wasn't
>malignant. I'm not clear did you take out the uterus and other ovary ? -
>I certainly would have done. If you did what was the value of the frozen
>section ? If you didn't why not ?

We had planned on removing the uterus and contralateral ovary from the beginning. The diagnosis of malignancy in the pathologic ovary mandated a complete surgical staging which included washings, biopsies of the peritneum, omentectomy, and retroperitoneal lymph node dissection.

Geffrey H. Klein, MD listowner: OB-GYN-L gklein@bcm.tmc.edu gklein@icsi.net http://members.aol.com/gklein01/geff.html





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