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Re: Fibroid with necrotic center From: Dan Logen (pdl@whidbey.net) Sun Oct 6 20:00:58 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Hugo D. Ribot Jr.: "Re: Cord blood for stem cell transplant" Previous message: Kenneth J. Moise: "Cord blood for stem cell transplant" >In message <199609260233.TAA04196@islander.whidbey.net>, Dan Logen ><pdl@whidbey.net> writes >>I have an asymptomatic patient with a 4 cm fibroid which has a necrotic >>center. Last year the fibroid was 3 cm with just a hint of central >>necrosis. She is 42 years old. Is central necrosis enough of an indicator >>of sarcomatous degeneration to warrant hysterectomy in an asymptomatic patient? >> >How has this necrosis been diagnosed ? Do you mean there are appearances >on U/S are suggestive of necrosis ? That's not quite a diagnosis. > >If she's assymptomatic why are you doing serial U/S on her anyway ? >-- >Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt >Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. >Tel: 01582-497459 (office) > 01525-222849 (home) >Fax: 01582-497424 >email: Malcolm@mgriff22.demon.co.uk > >"It is dangerous to be right on a subject on which the established authorities >are wrong." (Voltaire) > I probably used the wrong word when I said necrotic. The center is liquid filled--perhaps degeneration is a better word. The reason I know its size last year and this is that I use tv ultrasound with every annual exam. I wonder if this amount of enlargement and central liquefaction should generate worry, or should I just look at it again next year? -- Dan Logen Stanwood, Wa pdl@whidbey.net Next message: Hugo D. Ribot Jr.: "Re: Cord blood for stem cell transplant" Previous message: Kenneth J. Moise: "Cord blood for stem cell transplant"

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