WOMENS-HEALTH Messages for November, 2000: Re: Ovarian Tumor

Re: Ovarian Tumor

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 23 Nov 2000 10:26:19 -0600 (CST)

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In reply to: Heather: "Ovarian Tumor"

At Wed, 22 Nov 2000, Heather wrote: >
>A few months back I had a laporoscopy done and the following is the
>pathology report:
>GROSS
>Teo fragments of tissue received. One consists of an intact 2.5 X 2.5 X
>0.5 cm cyst with a smooth outer surface, and a rooughened inner surface
>containing serveral small papillary areas ranging from 0.3 to 0.5 cm in
>maximal diameter. The external surface is painted with blue ink. Some
>of the blue ink has seeped onto the inner surface of the cyst wall. The
>cyst is sectioned serially and submitted in toto in "a" to "c". The
>second tissue fragment measures 3 X 0.8 X1 cm, is homogeneously white on
>the surface, and has a yellowy cut surface. It grossly resembles an
>ovarian fragment. It is bisected and submitted in toto "d" and "e'.
>MICROSCOPICS
>The grossly described cyst with several small papillary areas on the
>inner surface is composed of atypical proliferating serous tumour
>(serous borderline tumour). The majority of the serous proliferation is
>unicellular, but there are very focal areas of epithelial proliferation,
>with budding and tufting. No significant cytologic atypia is
>identified. Numerous psammoma bodies are present. There is no surface
>serous proliferation identified on the exteranl surface of the cyst. The
>second tissue fragment contains a hemorrhagic corpus luteum.
>1. Atypical proliferating serous tumour.
>2. Hemorrhagic corpus luteum.
>Question for you, what soed this mean and what follow up would you
>recommend if any? I am 40yrs old and I have had breat cancer 6 years
>ago. Heather

I am not a pathologist, but I can tell you what I would do. In any aspect of medicine, one is entitled to a second opinion. Pathology is no exception. I would ask that the specimen be sent to one of the larger centers for a second opinion on the pathologic diagnosis. If the second opinion confirms the afore quoted diagnosis, then I would rest easily and follow your OB/GYN's recommendations. On the other had, if the opinion differs, then I would seek the opinion of a gynecologic tumor specialist. That's what I would do... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Heather: "Ovarian Tumor"

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