Re: epethial serous cystadenoma?

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At Wed, 24 Nov 1999, anonymous@obgyn.net wrote: Dr. M,

I had my surgery last week, and the mass, which was the size of a large grapefruit on 11/5, was the size of a volleyball - no surprise to me as the pain, pressure and abdomen distention had increased so much since that time. The diagnosis was epethial serious cystadenoma (pending final pathology report, which hasn't came back yet)

I was given all this info after surgery - so I was of course out of it mostly. I do know that I was able to keep my right ovary. What exactly is this ESC,

Epithelial - from the outer convering of the ovary; Serous - a type of cell producing fluid of a watery consistency; Cystadenoma - a cyst comprised of gland-like cells. Serous cysts are benign.

>and how likely is

there for recurrence

Benign serous cysts should not recur if removed in toto (totally).

>or that pathology could show anything different than frozen

section?

Not likely but it depends upon the skill of the hospital pathologist.

Thanks, :) Victoria

>Dr. M,
>
>Also, I forgot to ask about this - I guess all of those weeks of being on
>narcotics for pain have left their mark - lol. Good to be off of those
>things, that's for sure. Anyhow, I started hurting yesterday in my right
>ovary, which was essentially left alone. Just figured it was maybe adjusting
>to having all the work to do by itself now, but today started running a low
>grade temp, that now has reached 101.4, despite taking my Motrin 600mg every
>6 hours. I'll be placing a call tomorrow, but I have been taking really good
>care of myself since surgery and not over doing it at all. What would make
>the right ovary start hurting like this? It's painful when I press down in
>that area too, which it hasn't been. Just wondering . . .

"Doctor, it hurts when I press here." "Don't press there!" 2.5 weeks after surgery is an unlikely time for a post operative infection, but i would still get it checked out. It may not be the right ovary as much as the area around the right ovary.... sensitivity after surgiery is not uncommon.

>Lymph nodes are still enlarged too, which I figured would all go down after
>surgery. Is this normal?

This isn't related to the ovary so I can't say.

>The only ones I can really feel are the ones in
>the clavical and lower neck area and axillary. The ones above that area were
>removed in May of this year (the beginning of all of this whole ordeal and
>were benign except for showing they were all very enalarged). The lymph
>nodes themselves don't hurt, but they do make the surrounding tissues sore.
>
>Okay, I'll stop with the questions - lol.
>
>Have a great Thanksgiving Day!!!!!
>
>Victoria

Feel better.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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