WOMENS-HEALTH Messages for April, 1998: Re: 4.5 centimeter ovarian cyst

Re: 4.5 centimeter ovarian cyst

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 6 Apr 1998 16:41:03 -0500 (CDT)

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In reply to: Patricia: "4.5 centimeter ovarian cyst"
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Reply: Patricia: "Re: 4.5 centimeter ovarian cyst"

At Mon, 6 Apr 1998, Patricia wrote: >
>I am a 50 year old who had two ovarian wedge resections in 1975, and PID
>with a pelvic abscess in 1984. I do have 3 children. Now, my pelvic
>ultrasound just showed a 4.5 cm fluid-filled septatious (?) mass in my
>right ovary.

Septations are not to be taken lightly and deserve serious consideration. Is it definitely your ovary and not a sequela of the PID? That's an important question to know the answer to. a tubal structure with fluid from aold PID can look that way. Your doctor can discuss this with the radiologist to help define this. Color doppler with the sono can also be helpful.

>I have had intermittent pain for at least a year. We are
>ready for the complete hysterectomy. I also have two small fibroids.
> Is there any reason not to do this, or is there more I should do?
> Is this likely to be malignant?

The amoount of surgery is a very personal thing which must be discussed with the physician of your choosing. If the ovary is felt to be benign sonographically, a normal CA125 is gotten, and a frozen section at surgery is benign, many experts believe removal of one adnexa (tube and ovary) may be sufficient. If these criteria are not met, moreextensive surgery may be required and a gyn oncologist may be needed. These concepts should all be discussed with your doctor.

--
Harvey S. Marchbein, M.D. FACOG
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 purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**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: Pain in side"
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In reply to: Patricia: "4.5 centimeter ovarian cyst"
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