Re: CA 125 and LMP borderline ovarian cancer
From: Alicia Lapidus M.D. (anonymous@obgyn.net)
Thu, 7 Aug 2003 09:00:59 -0500 (CDT)
Can you ask for a 2nd opinion?
At Thu, 7 Aug 2003, Debbie wrote:
>
>Last year I was diagonsed with LMP serous ovarian cancer (stage 1a but
>staging surgery was not performed but I did have a second opinion on the
>pathology). My pre-surgery CA-125 was 66. After removal of the only
>the tumor, left ovary and tube my CA 125 fell to 36. A few months later
>I started having other problems and my CA 125 was checked monthly for a
>couple of months and it bounced around but has never been below 36. My
>last 4 CA 125 values have been increasing and none of my drs seem
>concerned. It's not checked regularly only when I've had some problems
>and I've insisted at my follow-ups (every 6 mos) that I have this
>monitored (gyn does not believe it's necessary). Sep/02 - 36, Oct/002 -
>39, Nov/02 - 39, Apr/02 - 59. I also had a CT scan in Sept that
>indicated two suspicious nodules but no other problems, a follow-up
>ultrasound indicated no problems.
>
>I'm having a another CA 125 this month. How concerned should I be about
>this CA-125 value if it's still increasing and how often should it be
>checked if it is increasing?
>
>I am also having some symptoms again (gas, periodic sharp pain in pelvic
>area, a mucous discharge with strings of blood) - I've had these
>symptoms for about 6 mos with the gas just recently appearing - again
>drs do not seem concerned as pelvic exams and U/S are fine. Can this
>type be effectively monitored through pelvic exams and U/S (regular not
>tranvaginal)?
>
>Thanks for help.
>
>--
>Debbie
>
--
Alicia Lapidus MD
Head Obstetrics Division,
Hospital J. A. Fernández
Buenos Aires
Argentina
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