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Gynecology (Expert Forum)
expert opinions
This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.
expert opinions
by odysseus, Jun 03, 2007 12:00AM
Follow up. The benefits of getting several opinions (with more highly trained personnel) are apparent. We have gone from a diagnosis of a mass in the uterus to that of an ovarian cyst and, most recently, thanks to MRI imaging at M.D. Anderson in Houston, to that of 7.8 x 6.7 cm well-encapsulated tumor within the pouch of Douglas "indenting the posterior aspect of the right ovary and broad ligament ... [which] has an appearance suggestive of chronic hemorrhage as would be seen in an endometrioma or a chronic hematoma." Smaller "lesions" are also identified. The report concludes with a diagnosis of "endometriosis in preference to a chronic hematoma."
Our gynecologist at M.D. Anderson thinks it unlikely that the mass is an endometrioma as that that is inconsistent with the fact that my wife recently had a pregnancy (whose termination by miscarriage was the start of her symptoms), and also with the fact that my wife's CA 125 levels are normal (which, apparently, *tend* to be elevated in the case of endometriosis). She feels that it is a "Fibroma, lipoma, fibroid coming from the uterus hanging from a long stalk, fibroma coming from broad ligament, or fibroma coming out from ovary."
Questions:
1. Do any other possibilities come to mind?
2. We've been told yet again that laparascopic removal of the mass is impossible because the tumor is too big and not cystic. Is a vertical incision really the only way to go?
3. What Is the convalescence after this sort of surgery like?
Our gynecologist at M.D. Anderson thinks it unlikely that the mass is an endometrioma as that that is inconsistent with the fact that my wife recently had a pregnancy (whose termination by miscarriage was the start of her symptoms), and also with the fact that my wife's CA 125 levels are normal (which, apparently, *tend* to be elevated in the case of endometriosis). She feels that it is a "Fibroma, lipoma, fibroid coming from the uterus hanging from a long stalk, fibroma coming from broad ligament, or fibroma coming out from ovary."
Questions:
1. Do any other possibilities come to mind?
2. We've been told yet again that laparascopic removal of the mass is impossible because the tumor is too big and not cystic. Is a vertical incision really the only way to go?
3. What Is the convalescence after this sort of surgery like?
