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Re: Solid ovarian mass From: Bernard Cristalli (bcrist@club-internet.fr) Sat Mar 27 10:34:15 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gerald P. Rodriguez: "Re: Solid ovarian mass" Previous message: Bernard Cristalli: "Re: Authorship for a manuscript" Maybe in reply to: Lynne Loeffler: "Solid ovarian mass" Next in thread: Gerald P. Rodriguez: "Re: Solid ovarian mass" Lynne Loeffler a écrit: > Dear listmembers, > > I am posting this at the request of my partner, who I think really just wants > some shred of hope for her long-term client. There's not much doubt in > anyone's mind what the next step needs to be, but it will be several days > before the woman can be seen by consultant. > > 44 y/o G3P3, no health problems ever. Normal menses still. Normal annual exam > 1 yr ago. On bimanual at annual exam yesterday, palpable, non-tender, > non-fluctuant, anterior ovarian mass noted. Sent for immediate sono. > > Sono report: > Solid ovarian mass. Ovary enlarged and contains a solid mass. > Ovary itself measures about 18.8mm long. > Mass extends from the ovary and measures 39.2mm x 49.2mm. > Ultrasound study otherwise negative. > > CBC WNL. Comprehensive Metabolic Profile WNL except elevated LDH (309, > upper limit of normal at this lab is 240). UA WNL. PAP not back, of > course. > > Questions: > (1) Any reasonable possibility this is NOT ovarian cancer? What would be > in your differential? --ovarian cyst, the only way to know is to go 'n fetch it > (2) Laparotomy, not laparoscopy, would be done always in this situation, > yes? --laparoscopy first and immediate 'tomy if anything suggests anything else than a cyst > (3) Would you go ahead and do CA 125, or is it really any help here? --no help, you'll have the time to do it afterwards > > (4) Would you be more worried if you knew her sister (also in her forties) > has breast cancer? --yes, but no actual data. > > Thanks for any input. > > Lynne Loeffler, CNM -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Gerald P. Rodriguez: "Re: Solid ovarian mass" Previous message: Bernard Cristalli: "Re: Authorship for a manuscript" Maybe in reply to: Lynne Loeffler: "Solid ovarian mass" Next in thread: Gerald P. Rodriguez: "Re: Solid ovarian mass"

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