WOMENS-HEALTH Messages for January, 2000: Re: 36 mm solid mass

Re: 36 mm solid mass

From: D. (anonymous@obgyn.net)
Fri, 28 Jan 2000 23:06:24 -0600 (CST)

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In reply to: Terri: "36 mm solid mass"

At Fri, 28 Jan 2000, Terri wrote: >
>I had my uterus and cervix removed in 1997, and my ovaries were removed
>in 1998. I have had chronic and severe right-sided pelvic pain for
>three months now. A sonogram showed what the technician thought was a
>right ovary.

While it is very unlikely that something only 3.6cm in size (a little bigger than an inch) is cancer, a laparotomy may be necessary. You probably have an ovarian remnant. Even a microscopic piece of ovary accidentally left behind during a hysterectomy can grow large enough over time to become symptomatic. In my experience most patients with an ovarian remnant have a small section of ovary stuck like glue to the pelvic sidewall, usually near or over the ureter (kidney tube). A very skilled laparoscopist may be able to remove the ovary from the sidewall, but he or she needs to be comfortable operating near the ureter. I usually obtain permission from my patients to put a ureteral stent in during surgery, if necessary, in order to make sure the ureter is out of danger. Sometimes this is necessary, sometimes not. One option is to ask your doctor to try to remove the ovary via laparoscopy, knowing that conversion to laparotomy may be necessary. Fortunately, most patients with ovarian remnant get much better once the offending piece of ovary is removed.

Best wishes,

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.mpinet.net/dahmd

My apologies, but due to time constraints I am unable to answer private e-mails.

Next message: D.: "Re: to early for menopause"
Previous message: Valerie: "Regarding % body fat and becoming pregnant"
In reply to: Terri: "36 mm solid mass"

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