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Re: GYN Oncology From: A.C. (A.C.Evans@m.cc.utah.edu) Sun Nov 2 08:11:06 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ronald Helm: "Re: GYN Oncology" Previous message: Bernard Cristalli: "Re: GYN Oncology" In reply to: Robert Radnich, M.D.: "GYN Oncology" Next in thread: Ronald Helm: "Re: GYN Oncology" On Sun, 2 Nov 1997 06:19:38 -0600, rradnich@dca.net (Robert Radnich, M.D.) wrote: >I would appreciate your input on current case. > >65 yr P1 s/p TAH,BSO March 97 for Ia AdenoCA of Endometrium (1-2mm >invasion). Recent CAT scan of abd/pelvis shows 6cm solid mass in >epigastric region. Seems to be just beneath abd wall. CAT scan is >otherwise negative. Chest films are negative. Needle biopsy shows >poorly differentiated CA. Special stains and receptor status in >progress. Pt is otherwise healthy, active and asymptomatic. What was the grade of the original tumor? As an aside, the myometrial invasion would make this a Stage IB cancer. > >If this is shown to be endometrial in origin would you excise the mass >in conjuction with laparotomy for debulking or treat primarily with >radiation and chemo? Yes, I would excise it. I would also investigate for other sites of tumor (i.e., diaphragm bx, omentectomy, lymphadenectomy, etc.). If there is diffuse disease, I would treat with doxorubicin/cisplatin after debulking. If the tumor is isolated, abd XRT. Prognosis is going to be poor regardless of means of treatment, but debulking will probably be of some benefit. > >If the source of the tumor can't be elucidated with any certainty would >you explore and excise the mass or treat empirically with radiation and >or chemo? > Explore and excise, search for primary. A.C. Evans, M.D., Ph.D. Division of Gynecologic Oncology Univ. of Utah, Salt Lake City (801) 581-7640 A.C.Evans@m.cc.utah.edu acevans@hsc.utah.edu Next message: Ronald Helm: "Re: GYN Oncology" Previous message: Bernard Cristalli: "Re: GYN Oncology" In reply to: Robert Radnich, M.D.: "GYN Oncology" Next in thread: Ronald Helm: "Re: GYN Oncology"

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