-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: gyn oncology followup From: A.C. (A.C.Evans@m.cc.utah.edu) Mon Nov 3 16:04:14 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Vitamin Supplements in Multiple Gestation" Previous message: Malcolm Griffiths: "Re: Bone in Uterus Pregnant" In reply to: Robert Radnich, M.D.: "gyn oncology followup" Next in thread: Bernard Cristalli: "Re: gyn oncology followup" On Mon, 3 Nov 1997 16:17:58 -0600, rradnich@dca.net (Robert Radnich, M.D.) wrote: >These findings were discussed with our consulting oncologist and it was >recommended that no adjuvant therapy be given. I would not have, either. She was adequately staged. > >Assuming that the mass is metastatic from the endometrial lesion - our >oncologist does not recommend laparotomy. He feels that no studies have >shown any benifit from such 'debulking' proceedures. He recommends >radiation therapy to the mass and subsequent chemotherapy. What about Chi, et al. Gynecologic Oncology 67, 56-60 (1997)? Although this study addresses the role of surgical cytoreduction in Stage 4b patients, this patient is in a similar category, having not received any adjuvant therapy following her primary surgery. > >I am uncomfortable with this approach. We will probably not be able to >tell the source of the tumor from the needle biopsies (consultation is >again in progress). We are looking for other primary sites. Other >surgeons and oncologists would proceed with laparotomy to excise the >mass and further evaluate the abdomen. I stand by what I said in my previous post on this subject. I would perform laparotomy, debulking, and assess the extent of disease as well as r/o other primary sites for the cancer. I would tailor the therapy to the findings at laparotomy. 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: Malcolm Griffiths: "Re: Vitamin Supplements in Multiple Gestation" Previous message: Malcolm Griffiths: "Re: Bone in Uterus Pregnant" In reply to: Robert Radnich, M.D.: "gyn oncology followup" Next in thread: Bernard Cristalli: "Re: gyn oncology followup"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:22:01 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.