Re: Gyn -Endometrial Cancer

From: Anthony Evans (ahcevans@execpc.com)
Fri May 21 13:11:17 1999


On Fri, 21 May 1999 11:06:02 -0500, "Douglas J. Krell MD" <djkrell@drkrell.com> wrote:

>She has been advised to have an exploratory lap, BSO, and to stay off
>estrogen.
>
>I think this is overkill. What would you recommend?

I would recommend laparoscopic adnexectomy/washings and inspection of abdominal/pelvic areas. Maybe seems like overkill, but these patients could have recurrences in the adnexa and are at a slightly higher risk for ovarian cancer. She may well get away with observation only but she is taking a risk if she/you take that approach in my opinion.

I have no problems placing this patient on estrogen if the adnexa/washings are negative. If washings only are positive...everything else negative...controversy and biases about the best treatment abound...take your pick.

Regards,

Craig Evans, M.D., Ph.D. Vince Lombardi Cancer Clinic Milwaukee, WI





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