WOMENS-HEALTH Messages for November, 1999: Re: low borderline malignancy?

Re: low borderline malignancy?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 28 Nov 1999 21:51:59 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Re: low borderline malignancy?"

At Sun, 28 Nov 1999, anonymous@obgyn.net wrote: >
>Dr. M:
>
>Thanks for responding! Here is the deal - the LMP was not known at surgery,
>so no lymph nodes or omentum was taken, although he did remove the left ovary
>and tube. Remember when I told you last week about some intermittent pain in
>the right ovary? Well, that has increased steadily since last Wednesday, and
>is now steady, there all the time, and growing in intensity. I assumed at
>first it might be the ovary compensating or adjusting to being on it's own in
>the hormonal thing, and dismissed it. Then as the pain grew, I started
>taking my Motrin 600mg every 6-8 hours, which then became every 4-5 hours.
>As of yesterday, the Motrin is no longer effective and I had to dig out my
>Darvocet, much to my dismay (almost threw all of those pain meds away as I
>was sooooo happy to not have to take them after the first couple of post-op
>days). I guess I should just be grateful that the pain is not as bad as it
>was before when I had to take that Percocet, instead of complaining, but it
>concerns me what is going on, especially having to leave the realm of OTC
>analgesics. I'm still running the same low grade temp that I ran during the
>whole course of the serous cystadenoma ordeal, but it doesn't get over like
>99.6 or 99.8, and had actually gone completely away for several days, only to
>return with the right ovarian pain. I do know that the last ultrasound prior
>to surgery showed a small cyst on the right ovary, but he didn't say anything
>about having removed it and there was no pain in that area post op, although
>he was very detailed (with my family - I was out of it post op, needless to
>say) about everything else. I'm having no nausea, etc... and actually would
>feel back at about 75-80% if it weren't for the right ovarian pain.
>
>Any ideas as to what could be going on?

Not from what you've written thus far. Sorry.

>The research that I've done on your
>site says that these cystadenomas can be bilateral, but wouldn't you be able
>to tell the appearance of a small cyst as to whether it could possibly be
>another cystadenoma?

Should be able to.

>I kept thinking it would get better and go away, but
>instead just keeps increasing - feels almost like someone is twisting my
>ovary - which is very similar to the beginning pain with the other when it
>was just the size of a golf ball, of course, it had grown to the size of a
>small volleyball by the time we did surgery, which was only one month from
>the CT scan which first showed the mass.
>
>Any comments or suggestions would be appreciated, as I am completely stumped
>and my doc is out of town until later in the week.

See if a covering doctor will see you and see if another sonogram is necessary and what's up - an exam is indicated at this point.

>Also, since pathology came back with LMP,

FWIW, LMP is last menstrual period. :-)

>would that mean having to go back
>in for lymph node and omentum testing?

Usually, CT followups will be enough for many. For some (and a gyn oncologist would have to help determine) a hysterectomy and removal of the other tube and ovary may have to be done in the future.

>I certainly hope not! Once was more
>than enough! If so, can that all be done laproscopically, or would it have
>to be a laparotomy?

Frequently surgery can be done laparoscopically but it depends upon a great number of variables.

>Thanks,
>Victoria

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

**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 ;-)

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