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Re: Would you diagnosis this as ovarian cancer or fibroid tumor
From: Anonymous (anonymous@obgyn.net)
Tue, 19 Aug 2003 22:00:11 -0500 (CDT)
Not a doc but from what I understand an ultrasound usually tells more
than an MRI for problems with the reproductive organs. Did they do an
ultrasound? That should have at least told them if it was ovarian or
uterine.
At Tue, 19 Aug 2003, Ckirk wrote:
>
>Just fyi...surgery has already happened, so I'm asking this for other
>reasons...
>
>Background:
>39 year old, healthy, normal weight female with heavy periods, presents
>with monthly periodic bloating (more so than normal). She's never
>smoked, nor had a history of familial ovarian cancer. She's taken birth
>control pills off and on her adult life. One of her sister's had a
>fibroid tumor.
>
>A full body scan shows a pelvic mass, and pelvic MRI shows a tumor of
>about 12cm. that appears to look exactly like a fibroid you see in most
>books on the subject. She has a CA-125 test done which shows 17. All
>standard blood tests are normal.
>
>Two years later, the mass increases in size, and now makes her look
>about 9 months pregnant. A sonogram shows the tumor now has fluid in it
>(not in the abdomen, as in no acites sp?.) It's a pretty solid tumor. A
>chest xray is clean, and another CA-125 test done which is normal, 15.
>All other blood tests are done which all show normal, although the tumor
>is now pressing on her kidneys.
>
>What would a typical gyno assume? - ovarian cancer or fibroid tumor?
>Would it be important for you to view the pelvic MRI done two years
>prior? Would you recommend removing ALL female organs or would you
>recommend trying to excise the tumor from the uterus? The patient really
>wants to keep all parts. Once in surgery would it become apparent once
>opening up the patient the tumor is more fibroid than cancer?
>
>Any info/thoughts would be greatly appreciated.
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