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Re: Dermoid Inside Ovary - Me AgainFor more information on symptoms and treatment of endometriosis visit www.EndometriosisZONE.org. From: connie (anonymous@obgyn.net)Sun, 11 Jan 1998 02:40:38 -0600 (CST)
At Fri, 9 Jan 1998, Theresa wrote: > >At Fri, 9 Jan 1998, Robin wrote: >> >>Hello there. I posted in the past about the problems I was having with >>chronic pelvic pain in the lower left side. Ultrasound showed cyst, >>possible dermoid, in Aug. Lap in Oct showed nothing. Doctor said maybe >>inside ovary and just leave it for a year since it was too small to be >>causing my daily pain. I went to knew doctor. US in Nov showed cyst >>still there, same size. I went for a CT scan Dec 23 and it shows a >>lesion of the same size as the previous ultrasounds. There is a well >>defined thick rind and the central portion has attenuation values in >>negative range suggesting fat within which raises possibility of >>dermoid. No obvious calcifications or ossifications. My new doctor >>says that the doctor who did my lap in October is an excellent surgeon >>and he believes because of this, and because the mass has not gone away, >>that it is very likely inside the ovary. He can't give me any idea if >>he will be able to save the ovary until he gets in there. This concerns >>me because I lost the right ovary to a dermoid that twisted and turned >>gangrene about 7 years ago. Any idea what the odds are that this cyst, >>which measures 2.5 cm by the way, will have damaged the ovary to the >>extent it must be removed? > >I had a small dermoid removed from my ovary and lost 1/2 of the ovary, >but the 1/2 that was left functioned normally and I had two kids >afterward! > >Also, my Dr. says that even if he can leave >>a small sliver of ovary functional it might be best to remove it since >>it might still cause pain and I may get further dermoids. They really >>run in my family on my Mom's side. My mom had two of them also on >>seperate occasions before having a hysterectomy. I have already decided >>to have the Uterus removed if the ovary goes. But I am only 27, and >>though I already have two children and we think we are done having >>children, we just can't be sure about not wanting more. This makes me >>very leary of going in for surgery in case the ovary is removed. So, >>any advice or opinions on my situation would be greatly appreciated. How >>long could this be left in without doing anything? The thing that >>worries me with that is that I am already having daily pain. The >>ovarian pain causes severe lower back pain (followed by leg aches) that >>keep me awake at night. Should I be at all hopeful he will be able to >>just remove the cyst? Anybody have any odds on this at all? The doctor >>was very concerned that I made decisions about having the uterus removed > >Sounds like a god doctor...it's good that he is worried about your >fertility. > >>etc which kind of gave me a dismal outlook and he would not give me even >>the vaguest idea of any type of odds on how it will go or is likely to >>go or how it typically goes in past surgeries. Ok....sorry this is so >>long.....by the way, I am the same person who wrote about the toradol >>being given for my pain. Thankfully, the doctor switched me back to >>tyelnol. Oh....one more thing. He originally wanted to just do an >>exploratory lap and then if need be, do the removal another time...but >>that would mean two surgeries so I said no. I said, if it needs to come >>out just do it at the same time. What would have been the benefit of >>the other way? Well, thanks for taking the time to read this long post >>and any answers or advice is greatly appreciated. >>Oh....and one more thing....I have decided to have my uterus out also if >>the ovary is removed, is this a good idea and why or why not? > >You are really young to have a hysterectomy that isn't totally >necessary. Even though you have two kids, the fact that you MIGHT want >more later is enough reason to fight to keep your fertility. I had a >hysterectomy last year (I am 29) and we were sure that we didn't want >more kids (we have two). I am still happy with my decision, but there >are days when I see babies and wonder 'what if...' Don't rush into >this...good luck! > >Thanks. >> >>Take Care, >>Robin de Graauw > >-- >Theresa > I had 2 major surgeries, one emergency, for ovarian cysts 18 years ago (BEFORE they were using laparoscopy). I have only 1/16 of my ovarian tissue left on one side and 1/8 on the other (how they measured this--who knows!) I have 2 children today--conceived shortly after trying. I wouldn't mess with leaving something in there when you have the history of problems that you do. But if you have a great surgeon and with surgical techniques being what they are today, you stand a good chance of keeping some of the ovarian tissue. It is a deeply personal choice and worthy of multiple medical opinions. I go through the decision-making process annually as I can no longer take the treatment for my cysts and face their reoccurence several times a year. I have contemplated a hysterectomy, but I did some reading on it and have decided that, barring an emergency like cancer, I will face the odds with leaving things intact. My decision came from recognizing that the female repoductive system and hormonal balance doesn't start and end with the ovaries. I would really encourage you to do some reading on your own about your options. Whatever you choose, I hope it will bring you health and peace. Best of luck. Connie
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