Re: Solid ovarian mass

From: Efrain Ramirez MD (eramirez@icepr.com)
Tue Mar 30 04:11:50 1999


Ca 125 might help....I would do it. If it comes out 1,023...my oncologist friend would be with me the day we cut. If less than 100...she wiould be on call...I know many young guys out there would do a scope...not me. I don't fool around with solid tumors. :-

)At Tue, 30 Mar 1999, Peter Wein wrote: >
>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
>

--
Efrain Ramirez MD FACOG
"The things you learn after you know everything are the important ones"




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L 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: Mon Nov 2 05:31:01 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.