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To M.D. or anyone: Are MRI's/CT useful for dx of complex Ovarian cyst?

From: Brune (anonymous@obgyn.net)
Thu, 12 Dec 2002 23:04:28 -0600 (CST)


I've had laft complex ovarian cyst for years (since l997). I have transvag sonos about every three months and CA 125 about every 6 months. I've had a lap where they couldn't tell much as everything was adhesed,but endometriosis was seen everywhere in the pelvic cavity (ie bowel,baladder). To cut to the chase with my question:

I'm aware that the only true way to rule out ovarian cancer is with surgery. I've already seen a gyn/onc in Sept who's not terribly worried,but agress, as does the literature, that "you never know". My hesitancy is this- I've had two bad reactions to anesthesia in the past 4 years .(elevated CPK,myoglobinemia) -not a case of fulminant malignant hyperthermia but possibly something along the way in the spectrum. So BOTH my gyn and I are more than a bit worried about general anesthesia. I am trying to get my medical records re the exact anesthesia used,but NOT easy. So..... hence the question:1)DOES AN MRI or CT give any increased data re the nature of a complex cyst 9that is, any more informative than the transvag sono?) 2)Also is there ANY headway into the tumor markers for OV CA.? I know there were some clinical trials. One company suggested that they may be "ready' sometime in 2003 (I am on their mailing list.)

This was a long question, sorry. I know eventually we need to find out why I reacted so badly to the anesthesia,but in the meanwhile I will not rush into another general anesthesia until the offending agents of both prior surgeries are sorted out. THANK YOU for your time






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