Re: Solid ovarian mass

From: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU)
Mon Mar 29 16:06:00 1999


At 09:09 29/03/99 -0600, you wrote: >The Ca 125 is of no help until after the diagnosis of cancer is made. Then
>it is useful to follow the patient. It is not needed until in the postop
>period.
>I concur with this ladies other points completely except that it doesn't
>have to be a Gyn-Onc, It has to be someone with the skill and expertise to
>do surgical staging and debulking. Most often but not always this will be a
>GYN-Onc.
>Dan
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN
>

In fact CA 125 is of great help pre-operatively - if it is less than 65, quite unlikely to be malignancy - if greater more likely - it guides you as to who should be doing the procedure and what incision you should make. Admittedly it is not black and white - but then not even the path report is always.

--
Peter Wein




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