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Re: Endometrial cancer staging following vaginal hysterectomyFrom: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Sat May 30 12:13:55 1998
At Sat, 30 May 1998, John Langenberg wrote: > >I am a primary care physician caring for a postmenopausal woman s/p >vaginal hysterectomy without BSO for endometrial dysplasia, with >pathology showing stage IA, G1 adenocarcinoma. Her gynecologist is now >recommending laparoscopic BSO to complete staging, but the patient has >asked me whether this is really necessary. She is concerned about the >small but finite risk associated with the procedure in light of the >small likelihood of involvement of her adnexa. I have been unable to >find anything in the literature that really addresses this situation. Is >removal of the adnexa really necessary? > >-- >John N. Langenberg, M.D. > Her staging and treatment is complete without the BSO. You and your patient asked good questions. The gyn is probably wishing now that BSO had been done incidentally with the vag hyst,but in my opinion there is no need or indication to go back and get them now. Cal
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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