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

Re: 4.5 centimeter ovarian cyst

From: Patricia (anonymous@obgyn.net)
Mon, 6 Apr 1998 16:48:42 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Linda: "What could happen after an HSG?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Pain in side"
In reply to: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"
Next in thread: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"
Reply: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"

At Mon, 6 Apr 1998, Harvey S. Marchbein, M.D. wrote: >
>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.

Dear Dr. Marchbein: Thanks for your reply. I now have the sonogram which states " . . .complex cystic mass arising in the right ovary. Multi septated cystic lesion is seen which measures 4.2 cm in greatest dimension. Portions of this lesion are of intermediate echogenicity and portions are relatively anechoic. The intermediate echoes could reflect hemorrhagic component. . . .Minimal free fluid is seen in the posterior cul-de-sac of the pelvis.

I am awaiting the CA 125 result. Any change? Thank you so much. >
>--
>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 ;-)
>

--
Patricia Nelson

Next message: Linda: "What could happen after an HSG?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Pain in side"
In reply to: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"
Next in thread: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"
Reply: Harvey S. Marchbein, M.D.: "Re: 4.5 centimeter ovarian cyst"

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: