WOMENS-HEALTH Messages for August, 1997: Re: Borderline Ovarian Tumor

Re: Borderline Ovarian Tumor

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 24 Aug 1997 09:26:31 -0500 (CDT)

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In reply to: Jane: "Borderline Ovarian Tumor"

At Sat, 23 Aug 1997, Jane wrote: >
>Eight days ago I had a laparotomy performed by my infertility doctor
>with an Oncologist present when the biopsy came back. The diagnosis was
>Borderline Ovarian Tumor. Since I have been trying to conceive (I'm 40)
>they saw no need to remove the ovary. The pathology report just came
>back my doctor read me the results which were good. The problem is that
>he used some terminology that just blew by me and I wanted to do
>research on the net, but, can't find anything. I believe this is
>misspelled but he said papylari with low malignant potential. Does this
>make sense? What is a borderline tumor anyway & what does it mean. My
>IVF Center is now requesting I see the Oncologist and then after they
>get a note from him they will decide if I can ever do IVF with them
>again!!!!! I thought this was good news. So why do they need to protect
>themselves in this manner?
>
>Thanks in advance for the information.
>
>--
>Jane B
>

Jane, I am so sorry to hear of your difficulties. I believe you may be referring to a *papillary serous cyst of borderline malignant potential*. If this is, indeed the diagnosis, attempts at pregnancy should be just fine.

The oncologist should run the show as your RE indicated because your RE has his or ger own specialty and they don't want to harm you because of a problem not in the scope of their daily practice. The oncologist is the best one to indicate treatment now if any is necessary on an oncologic basis. If none is necessary and the RE is cleared to go to work, that's great!

It would be important to ask the oncologist if, at any time in the future, the borderline malignant potential diagnosis would indicate a need for future surgery after childbearing is complete. Only the oncologist with a full pathology report can help determine this.

BTW, years ago had an 18 year old with a borderline malignant potential cyst (18 centimeters... huge!) and after two kids, is fine, requires no further surgery and is healthy.

-- Harvey S. Marchbein, M.D. FACOG, FACS OBGYN.net U.S. Representative, New York Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/advisors/harveym.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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In reply to: Jane: "Borderline Ovarian Tumor"

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