WOMENS-HEALTH Messages for June, 2001: Re: prophylactic oorectomy

Re: prophylactic oorectomy

From: jwang, M.D. (anonymous@obgyn.net)
Mon, 18 Jun 2001 22:22:54 -0500 (CDT)

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In reply to: linda: "prophylactic oorectomy"

At Mon, 18 Jun 2001, linda wrote: >
>I am a 50 year old woman, 4 years after mastectomy (invasive ductile and
>invasive lobular, a 3rd mass with premalignant changes, and scattered
>foci of carcinoma near and far from the primary tumors). I had one
>positive lymph node and the tumors were not hormone dependent. I had 4
>adryomyacine and 6 CMF, no radiation therapy. The first adryo put me in
>menopause.
>
>On an ultrasound 10 days ago they found a 7mm cyst on one ovary and a
>6x8mm myeoma. Until now all ultrasounds were clear.
>
>My mother had a primary breast cancer at age 45, mastectomy, extensive
>lymph involvement, radiation. She had a second primary tumor in the
>second breast at age 68. This was hormone dependent.
>
>My mother's two sisters have both had breast cancer, as has a first
>cousin on my mother's side, also at age 45. This woman's brother had
>either leukemia or lymphoma at about age 40.
>
>There is clear genetic risk here, but I have not yet had a genetic test.
>I plan to do this in September when I am visiting the US. I live
>abroad, and there is more limited testing capability here.
>
>Several doctors have recommended prophylactic oorectomy. My questions
>are:
>
>1. Are there any drawbacks to oorectomy for a woman my age?

None known.

>2. I understand the procedure is usually done via laparoscopy. What is
>the skill requirement? Is it very important for a highly experienced
>person to do this in order to remove all ovarian tissue?

A skilled gyn can do this procedure, one doesn't need to be a super-specialsit.

>3. I will be at Mayo clinic with my mother in September. Is there a
>benefit to wait and have the procedure done in a place of this calibre
>rather than in Israel, my primary residence?

Hard to say. I guess the facilities and skill over there are pretty good.

>
>Thank you very much for your time and consideration in answering these
>questions!
>
>--
>Linda Lillybeck
>

-- J Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine

statements are informational only and should not constitute a medical plan or treatment recommendation. These comments are for educational purposes only. They are >not meant to take the place of an examination by a qualified >health care provider. They are not intended to be the start >of a physician-patient relationship.

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