Re: ovarian CYST

From: Dr Naimish Patel (jkennedy@arts.adelaide.edu.au)
Thu Oct 30 06:42:00 1997


At Wed, 29 Oct 1997, Bernard Cristalli wrote: >
>DR ROSA M GONZALEZ wrote:
>>
>> I recently saw a 33 y.o. P2 with a 6 cm complex ovarian cyst, she
>> had a previous similar lesion removed years ago from her other ovary--
>> actually, she had an ooperectomy then. Tumor markers are negative,
>> not able to tell whether lesion is benign or not, but based on past
>> history may be benign. Patient requests TAH USO now. What should I
>> do? Thanks for advise. Rosa Gonzalez, M.D. Private Practice

Dear Worried Rosa,

She is clearly a difficult patient and should be disuaded from TAH at 33. Obviously I would chase up histopthology from her previous operation and suggest a laparoscopy as in a 33 YO this may well be a benign condition such as a dermoid etc. This could easily be tackled laparoscopically.

Dr. N. Patel





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