WOMENS-HEALTH Messages for November, 1999: Re: right cyst

Re: right cyst

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 30 Nov 1999 19:26:01 -0600 (CST)

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At Mon, 29 Nov 1999, anonymous@obgyn.net wrote: >
>Dr M:
>
>I took your advice and saw the on-call doc today. Pelvic exam and ultrasound
>showed that the right ovary was enlarged, and that there was a small 18mm
>cyst on the ovary. She said it could be a follicle cyst and that I could be
>ovulating - and that so soon post op everything was still healing and more
>sensitive which could account for the bad pain. But for the past 10 years,
>I've always ovulated the middle of the month, regular as clock work. Could
>the surgery 2 weeks ago to remove the cystadenoma and left ovary have thrown
>me off?

Absolutely could have done that.

>Anyway, I'm to go back in two weeks for repeat pelvic and ultrasound. If it
>has not gone away and has gotten larger, we'll go from there - I guess back
>to the OR to remove it, given my now hx and the diagnosis of LMP (low
>malignant potential - stage 1). As much as I cringe at the thought of
>another OR trip, I'd much rather do that than risk losing this sole surviving
>ovary at the age of 33. Having a neoplasm grow so rapidly and so large
>really was a reality check on going to the doc when things don't feel right
>instead of justifying symptoms away.
>
>Why couldn't ultrasound be more specific as to whether this was indeed a
>follicle cyst or not?

It's usually pretty good. Small, clear without irregularities is a folliculaar cyst until proven otherwise.

>Is that something that just time has to tell?

Yeah. But as above, if it looks clear, it usually is.

>Anyhow, thanks for the advice to go on in. At least mentally I feel better,
>just knowing it's being watched so closely, and she suggested that I take
>Motrin and Darvocet together at the same time, along with using a moist heat
>gel pack to that area - and these seem to be working effectively.
>
>Is there a big risk that this low malignant stuff can recurr on this opposite
>ovary that is remaining, or in any of the peritoneum tissue from the other
>side?

Chances are "low" - get it - low malignant potential.

>I want to think that I'm pretty much "home free" with the surgery to
>remove the neoplasm and the ovary.
>
>Thanks again!
>
>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,
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**Thank you for your understanding ;-)

Next message: Jeffrey: "Antibody-E ant titers"
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In reply to: Harvey S. Marchbein, M.D.: "Re: Birth control/pain relief"

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