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gyn oncFrom: Chambers, Charles E. (Chambers.Charles@mayo.edu)Wed Mar 31 09:05:18 1999
I think the important concept is appropriate care by the appropriate physician. Some amount of trust is necessary in the primary physician to use prudent judgement to make this decision. Certainly, in a stage 3 or 4 ovarian ca, a gyn onc is invaluable. But at the other side of the argument, are patients that have self-selected tertiary care, and had a TAH and BSO for a benign small cyst that could have easily been done laparoscopically. BTW, the malignancy index seems interesting. Is it possible someone could forward the indices used and their calculation?? ---------------------------- Charlie Chambers, MD ---------------------------- Owatonna Clinic-Mayo Health Systems ---------------------------- cchamber@mnic.net chambers.charles@mayo.edu
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