Re: CA 125 of 103

From: Joe (forcep@intercom.net)
Thu Feb 9 05:42:59 2006


4. Repeat Ca 125. I had patient like this ,was 95 , but repeated two times,different lab and was 4 and 6. Still don't know reason for initial 95. Joe C

Joanne Bulley, MD wrote: > mid 40s woman 2 or 3 kids, tubes tied.
>
> US shows fibroids and what appears to be two cysts back to back on one
> ovary. Pretty benign appearance by US. No free fluid.
>
> Repeated in 6 weeks showing about the same with a cyst on the other
> ovary also.
>
> CA 125 is 103.
>
> Radiologists say it looks pretty benign and suggests follow up in 3
> months if direct visualization is not done. Second radiologist says do
> MRI now if not doing direct vis.
>
> My gut says to look now.
>
> Would you
>
> 1. Send to Gyn Onc for surgical evaluation for maximal debulking in
> case it is CA?
>
> 2. Do the Lapscope yourself with the probability of it being fibroids
> and endometriosis as the cause of both the findings on US and the CA12
> of 103
>
> 3. Do an MRI and if still fairly benign repeat some imaging at some
> future point (if so - what and when and labs)?
>
> 4. Something else?
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>





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