WOMENS-HEALTH Messages for December, 1999: Re: Atypical fibroid

Re: Atypical fibroid

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 31 Dec 1999 12:51:32 -0600 (CST)

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In reply to: Jane: "Atypical fibroid"

At Thu, 30 Dec 1999, Jane wrote: >
>Following a myomectomy to improve my chances at conceiving a third child
>(ttc for 3 years) the pathology report indicated an atypical
>(simplastic) smooth muscle tumor. The recommendation was to try to
>conceive as soon as possible, and then have a hysterectomy (1 year)-
>even though these tumors have a low risk of recurrence.

Atypical myoma? Cellular myoma? Bizarre leiomyoma? I need to know how many "mitoses per high power field" to be more specific and so will any gyn or gyn onc.

>I can find very little data about this diagnosis and plan to get another
>opinion - have you ever heard of this?

There are a varieity of things noted above. Can't tell from your description which one.

>Should I see a gynocologist or a gyn oncologist (although she made it
>quite clear that this isn't cancer)?

She who? Another gyn, a surgeon, a family doctor?

>I need to understand the risk of ovarian stimulation meds/combined with
>a possible pregnancy on this potential problem

Myomatous growths are not usually responsive to estrogen and the like but more specific info about the "tumor" will have to be gotten for a complete discussion with a gyn or gyn onc.

> - any suggestions as to
>where I might go for further info?

The original pathology report would be the place I would start.

>Questions I should get answered?

To be discussed after the path report is completely reported.

>Thanks -
>
>--
>jmshr
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: 15 yr. old and Breast Discharge"
Previous message: anonymous@obgyn.net: "Re: 15 yr. old and Breast Discharge"
In reply to: Jane: "Atypical fibroid"

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