Re: To M.D. or anyone: Are MRI's/CT useful for dx of complex Ovarian cyst?
From: Alicia M. Lapidus M.D. (anonymous@obgyn.net)
Fri, 13 Dec 2002 06:23:06 -0600 (CST)
1) Most probably yours is a benign cyst.because Ca 125 is normal and is
there since 1997
2) What about epidural anesthesia?
3)MRI will tell you more.
At Thu, 12 Dec 2002, Brune wrote:
>
>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
--
Alicia M. Lapidus M.D.
Director Obgyn.net Latina
Chief of Staff Obstetrics, Hospital J. A. Fernández
Buenos Aires
Argentina
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