WOMENS-HEALTH Messages for June, 2000: Re: liver cyst and pouch of Douglas simple cysts

Re: liver cyst and pouch of Douglas simple cysts

From: Ann (anonymous@obgyn.net)
Tue, 27 Jun 2000 11:57:40 -0500 (CDT)

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Reply: Harvey S. Marchbein, M.D.: "Re: liver cyst and pouch of Douglas simple cysts"

At Sun, 28 May 2000, William F. von Almen, II, MD, FACOG wrote: >
>At Sun, 28 May 2000, Ann wrote:
>>
>>The following is part of the report and comment of my recent
>>ultrasonogram of whole abdomen and pelvis. I feel very painful during
>>'period'. My question is whether I should have a surgery to remove it
>>or leave it as is. A professional opinion on this would be very much
>>appreciated.
>>
>>Part of Report:
>>
>>A 6 mm diameter simple cyst is noted over left lobe of liver. The size
>>and echogenic pattern of the liver are normal. No focal solid lesion is
>>seen. The portal vein and IVC are patent. The common duct is normal.
>>No dilated intrahepatic duct is noted.
>>
>>The uterus is normal in size and outline. No focal lession is noted. A
>>35 X 29 X 53 mm simple cystic mass is noted over right pouch of Douglas.
>>Another 24 x 24 x 29 mm simple cystic mass is noted over left pouch of
>>Doulgas.
>>
>>Radiologist's comment:
>>
>>Simple liver cyst.
>>Pouch of Douglas simple cysts. Findings are likely due to recurrent
>>chocolate cysts.
>
>Ann
>I do not think the liver and pelvic cysts are related.
>According to the radiologists impression, he feel you have endometriotic
>ovarian cysts in your pelvis.
>Please take this question up with your GYN as he is best suited to plan
>your therapy. Good Luck
>
>--
>William F. von Almen, II, MD, FACOG
>Editorial Advisor-Pregnancy and Birth
>Private Practice
>New Orleans, La.
>
>*Please understand I can not respond to private emails.
>
>*These comments are for educational purposes only. They are
>not meant to take the place of an examination by a qualified
>health care provider. They are not intended to be the start
>of a physician-patient relationship.
>

******************************************************************** Further question on the same subject again please. I refer to my GYN for advice.

-- My GYN recommended that no treatment is required at this point unless very painful during menstural period that I cannot tolerate.

I have no heavy breeding during menstural periods but clotting, no urinary problems. Only had bad cramps and diarrhea during menstrual periods.

?????????????????????????????????????????????? So do I need to visit a Gastro Internist for the cyst noted over the liver (the finding I referred to in my previous e-mail). ???????????????????????????????????????????????

I further took a biochemistry test and a hematology test. The medical technologist highlighted two results to me.

a) CA 125 is 64.5 U/ml b) Anisocytosis is ++

I would appreciate answers for the questions:

1) Is it likely to be ovarian cancer? Or some other tests that need to be conducted to prove it?? 2) What would be the best course of action/treatment to be taken next? 3 Which type of medical specialist I should seek advice from?

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