Re: Help please! Ovarian Cancer?
From: Alicia M. Lapidus M.D. (anonymous@obgyn.net)
Thu, 19 Sep 2002 18:28:56 -0500 (CDT)
I don't think you have cancer.
At Thu, 19 Sep 2002, Jean wrote:
>
>I fear I might have ovarian cancer, and my PCP and OB/GYN are not very
>knowledgeable about ovca. I'm trying to see a specialist in my area but
>have some trouble with HMO and may take long time.
>
>Meantime I'm looking for advice. What kind of tests should I request to
>my OB/GYN? To what degree should I be concerned?
>
>Personal info:
>-29 years old. 5' 2'' 103 lb. Never married, virgin. Has always had
>painful periods.
>
>1. Pelvic ultrasound (performed on 8/16/02)
>Ultrasound of the pelvis: Multiple longitudinal and transverse gray
>scale real-time echogram were obtained. There is no focal mass in the
>uterus. There is no hypertrophy of uterine endometrium. The left ovary
>measures approximately 2.5 x 2.5 x 2.0cm and normal in echogenicity.
>There is approximately 5 x 4 x 5cm cystic mass with thin internal
>septations in the right adnexa. There is no soft tissue component in
>the mass. The walls of the mass are thin. There is no abnormal fluid
>collection in the posterior cul-de-sac.
>
>Impression: A 5 x 4 x 5cm septated cyst in the right adnexa. The
>differential diagnosis includes cystadenoma, functioning cyst, teratoma
>and less likely endometrioma. Follow-up study is recommended.
>
>2. CA-125 level: 46 (performed on 9/3/02, a day before period began):
>
>3. Symptoms -bloated abdomen (as long as 1 year or maybe even more);
>lower abdomen pain(since 6/29/02) both twinging type in both right and
>left sides and duller type in uterine area, persistent but intermittent;
>change in bowel habits and poorly digested stools; frequent urination
>
>4. I have gastritis and was often prescribed Aciphex due to acid
>reflux. My father's half-sister has had breast cancer. My aunt on
>mother's side died of certain type of cancer
--
Alicia M. Lapidus M.D.
Chief of Staff Obstetrics, Hospital Fernández
Assistant Professor, School of Medicine, Barcelo University
Vicepresident of Argentine Society of Hypertension in Pregnancy
Director Latina Obgyn.net- http\latina.obgyn.net\espanol
Buenos Aires
Argentina
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