Re: ovarian cyst -- hysterectomy? hoping to get a reply before Sunday night in America
From: Ellie (anonymous@obgyn.net)
Sat, 11 Nov 2000 21:21:51 -0600 (CST)
Thanks for your reply.
At Sat, 11 Nov 2000, Harvey S. Marchbein, M.D. wrote:
>
>This decision needs to be predicated on the type of large ovarian cyst.
>If totally benign, removal of the ovary (removal of a large cyst without
>the minimal remainder of ovary can abe dangerous before the pathology is
>known) is usually sufficient.
I meant to write that the cyst is "completely liquid" according to the
sonogram and I've been told "completely benign."
> If the facility doesn't have the
>resources for immediate pathologic evaluation, some would (to avoid
>further surgery depending upon the pathology report) do a total
>abdominal hysterectomy and bilateral salpingo-oophorectomy (uterus,
>cervix, tubes and ovaries).
Bangkok hospitals are reputed to be among the best in the world --
especially the food :-) I'd think they'd have the ability to do an
immediate eval. Does this mean laparoscopic removal of a piece of the
cyst for evaluation?
>Some of this may already have been determined by sonography (with or
>without color doppler) and a CA 125 (inexact at best but sometimes used
>in planning surgery).
Sonogram -- yes. color? i don't think so. I say a b&w image on the
screen and my print out is b&w. CA 125 -- nope. I guess this will
happen in bangkok.
It's my understanding that, unless there appears to be some indication
of cancer, pre-cancerous conditions or predisposition to more cysts
(none), that a hysterectomy is an hysterical reaction (sort of pun
intended), an old-fashioned approach. In fact, the entire cyst,
including it's wall could be removed with laproscopy. TRUE?
Thanks greatly,
Ellie Skeele
>At Sat, 11 Nov 2000, Ellie wrote:
>>
>>I live in Nepal, am traveling to Bangkok on Monday to have a large
>>ovarian cyst removed. The doctor there will recommend a full
>>hysterectomy to "reduce future risks." I'm 47, never been pregnant,
>>irregular periods all my life, BAD cramps, not really menopausal, colon
>>cancer in family. I'm inclined not to do it but am wondering if there
>>is justification for her recommendation. I think just the cyst or the
>>cyst and one ovary. Any thoughts? I don't have much time to research
>>and then deliberate on her recommendations, as I have to fly there, have
>>at the very least the cyst removed and fly home -- now -- for a variety
>>of reasons.
>>
>>Thanks,
>>Ellie Skeele
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
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--
Ellie Skeele
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