WOMENS-HEALTH Messages for November, 1997: Re: Dear Dr. Marchbein,

Re: Dear Dr. Marchbein,

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 15 Nov 1997 23:08:25 -0600 (CST)

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At Sat, 15 Nov 1997, Elaine wrote: >
>This is an up-date. The patholgy report on the lump on my ovary
>says,"On transvaginal examination there is a 4.4 x 4.8 x 5.2 complex
>mass identified to the left of midline." The CA 125 came back normal. So
>now Dr. wants to wait three weeks and redo the sonogram. I am nervous
>about waiting. Do you think it is o.k. to wait? Thanks in advance.

A normal CA125 is a good sign but unfortunately not a guarantee. as I wrote in the last post, the CA125 is nonspecific and has its best use as an indicator of response to therapy in patients who already have ovarian cancer.50% of Stage 1 cancer of the ovary has a normal CA125. BTW, there are different cell types causing cancer of the ovary that do not elevate CA125 at all. In addition, fibroids and endometriosis can raise the CA125.

The cyst is not large enough to mandate surgery based solely upon size but the concept of "complex mass" is of potential concern. Most often, the radiologist can give an educated opinion as to the possible pathology involved. This is not a guarantee but rather an impression that helps ob-gyns manage these problems. If the radiologist thinks it's benign, I'd have a tendency to wait. If he/she's concerned, so am I and I'd schedule surgery sooner rather than later.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note:  Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: post hyst ob exams.."
Previous message: Harvey S. Marchbein, M.D.: "Re: Ruptured cyst"
In reply to: Elaine: "Dear Dr. Marchbein,"
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