WOMENS-HEALTH Messages for March, 1998: Re: Fibroids and Cancer Question

Re: Fibroids and Cancer Question

From: Hans van der Slikke, OBGYN (anonymous@obgyn.net)
Tue, 31 Mar 1998 14:44:47 -0600 (CST)

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In reply to: anonymous: "Fibroids and Cancer Question"
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At Tue, 31 Mar 1998, EMM. wrote: >
>I'm the person who (confused in Phoenix)
>asked about my upcoming TAH next week. I got
>all my tests in and my endo biopsy came back normal.
>I asked my doctor some questions (sent her a fax
>and follow up phone call) and she would not
>anser them, told me I had too many questions.
>The only thing she would say is I need a
>hysterectomy because:
>-- my 12 yr old asymptomatic
> fibroid started growing in the last year
> (note this is based on her one "feel" comparing it
> to what was described by the u/s)
>-- I had mild dysplasia in 1991 with no recurrence.
>-- CA-125 of 80 (which I understand is normal in presence
> of big fibroid.)
>
>She then refused to treat me any further (this is fine with me, I will
>not be operated on by someone who won't answer
>simple questions.) She recommended I see an oncologist.
>
>I understand that fibroids rarely turn cancerous. Is it
>not standard procedure if doing a myomectomy to biopsy
>the fibroid, then do a hysterectomy (quite understandably)
>if it is cancerous? Am I missing something here?

No, I don't think so: Indeed fibroids VERY seldom turn cancerous (about 1:10,000) So don't worry.

On the other hand a Ca-125 of 80 is a little elevated, even with a fibroid. Was this the first time you checked your Ca-125?

The point is that it sometimes can be difficult to be sure about a fibroid versus a endometriosis-cyst or so.

So my advice is to have a second opinion to be sure.

Hans

--
Hans van der Slikke MD PhD
Chairman International Council OBGYN-net

Next message: Hans van der Slikke, OBGYN: "Re: To Dr. van der Slikke! Pregnancy and antibiotics"
Previous message: anneminke: "Re: To Dr. van der Slikke! Pregnancy and antibiotics"
In reply to: anonymous: "Fibroids and Cancer Question"
Next in thread: J.Glenn Bradley MD: "Re: Fibroids and Cancer Question"

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