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Re: GYN: Adenomyosis Dx vs Tx ( Was Re: Abdominal pain) From: Bernard Cristalli (bcrist@club-internet.fr) Sun Dec 14 13:05:59 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Anyone Any Clever Thoughts ?" Previous message: Bernard Cristalli: "Re: positive pregnancy test ??" Marco A. Pelosi, III, MD wrote: > > > If hysterectomy doesn't mesh with her reproductive agenda you may offer > myomectomy if its a myoma and stack the odds of diagnostic certainty > with an MRI. But what if you find that the MRI is wrong when you slice > into the fundus over the prominence of "the myoma" and find obvious > adenomyosis? > Will you merely take a biopsy and tell her "tough luck" or will you make > a surgical effort to treat her bleeding with a Jones-like wedge > excision? > -- Hi Marco, I'd try to do the maximal conservative surgical procedure. Tell her that she has endo and put her on GnRH analog for at least 3 months before allowing her to be pregnant. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Anyone Any Clever Thoughts ?" Previous message: Bernard Cristalli: "Re: positive pregnancy test ??"

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