WOMENS-HEALTH Messages for October, 2008: Re: HYSTERECTOMY: Elevated CA-19-9 is concern for complete Hysterectomy

Re: HYSTERECTOMY: Elevated CA-19-9 is concern for complete Hysterectomy

From: Professor Galal Lotfi (anonymous@obgyn.net)
Sat, 25 Oct 2008 08:28:02 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "HYSTERECTOMY: Elevated CA-19-9 is concern for complete Hysterectomy"

CA test is not very specific in your condition. I was just about to take the conservative attitude telling you; wait and see. However according to the whole situations, I think you have to have a laparotomy and take it out, It could be related to some adhesions, or old hemorrhagic or infected cyst. All cause nonspecific pain. At Fri, 24 Oct 2008, anonymous@obgyn.net wrote: >
>Hi Doctor,
>
>I am a 42yr old female who has had a tubal litgation in 1988 after the
>birth of my only child. I also had a partial hysterectomy in 1997 for
>cancerous cells showing in my cervix, along with fibroid tumors and
>heavy bleeding. I am now experiencing a lot of pain in the lower
>abdominal area, constant pain on my left side, sometimes right side.
>Have already been diagnosed with complex ovarian cysts at 2.4CM right
>ovary and 1.5CM left ovary. Tumor on bladder. My blood tests for CA
>125 was normal with a 6, but the CA19-9 is 52. I was told that I had
>mucinous ovarian cysts. Doctor is awaiting my operative and pathology
>reports from 1997 to determine if he is going to remove my ovaries for a
>complete hysterectomy. I am experiencing constant pain on the left side
>only, nausea, constipation, bloating, loosing weight and now discomfort
>when trying to have intercourse with my husband. Recent transvaginal
>ultrasound showed the right ovary cyst has decreased in size to 2CM. The
>report did not mention the left ovary and doctors cannot explain the
>constant pain on my left side. One doctor's opinion is to wait a few
>months to see if condition improves, while another doctor says remove
>ovaries. I have had UTI's every other month since March 2008. I am
>tired of taking the CIPRO for the infections, and Naproxen for the pain.
>It all makes me very sick. My question to you is, what can I do to
>improve my condition. I am afraid of the cysts growing and/or
>continuing to appear every time I ovulate. It's becoming difficult to
>function if I don't take the pills. I am considering the hysterectomy,
>but the doctor is concerned that I will go into surgical menopause right
>after the surgery.
>
>Any answers you can provide will help me out a lot.
>
>Thank You!
>SMP
>
>--
>SMP
>

--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597

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