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Ovarian Cancer (Expert Forum)
bilateral ovarian mucinous cystadenomas vs bilateral ovarian mucinous cystadenocarcinomas
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center
Boston - MA
This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy,Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.
bilateral ovarian mucinous cystadenomas vs bilateral ovarian mucinous cystadenocarcinomas
by wolfgang37, Jun 20, 2007 12:00AM
Hello-second visit! I am 40 years old - and never had any prior medical problems. I had an MRI (read in conjunction with a CT scan and ultrasound) that identified a 12 cm AP dimension x 7.9 cm craniocaudal x 9.6 cm transverse soft tissue mass most suggestive of bilateral ovarian mucinous cystadenomas vs bilateral ovarian mucinous cystadenocarcinomas. It appears separate from the uterus and urinary bladder. My CA-125 results were 321.
The Ob/gyn wants to go in with a vertical incision, and not begin laparascopically. He indicated that this is because he is 'suspicious' of ovarian cancer. Is this the general thought process and actions typically taken when there is an elevated CA125? I don't understand why they have to be so invasive right away. Do I have any recourse to suggest that they begin less invasively?
Is this type of suspected tumor possible to separate from the ovaries - or is it too invasive? He has warned me that there may be a need for a TAH/BSO depending on the biopsy results.
Just hoping for a second opinion here. Thank you so much!
The Ob/gyn wants to go in with a vertical incision, and not begin laparascopically. He indicated that this is because he is 'suspicious' of ovarian cancer. Is this the general thought process and actions typically taken when there is an elevated CA125? I don't understand why they have to be so invasive right away. Do I have any recourse to suggest that they begin less invasively?
Is this type of suspected tumor possible to separate from the ovaries - or is it too invasive? He has warned me that there may be a need for a TAH/BSO depending on the biopsy results.
Just hoping for a second opinion here. Thank you so much!
Doctor's Answer
by Annekathryn Goodman, M.D., Jun 24, 2007 12:00AM
, Jun 24, 2007 12:00AM
Hi there,
I agree with the surgical approach. My only question is: will there be a gynecologic oncologist available at your surgery? It is appropriate to make a vertical incision and remove the masses. A rapid pathology evaluation is done at the time of surgery. If the masses are malignant, the standard of care is to remove the uterus, appendix, and perform staging biopsies of lymph nodes and the omentum.
while benign growth such as endometriosis can cause an elevation of the CA 125 blood test, i do worry that you could have a malignant change in the masses.
You should also do a bowel laxative preparation the day before the surgery to clean out your intestines. This is done to reduce the bacterial count and also in case a segment of the intestine is adherent to the mass and needs to be removed.
best wishes to you
I agree with the surgical approach. My only question is: will there be a gynecologic oncologist available at your surgery? It is appropriate to make a vertical incision and remove the masses. A rapid pathology evaluation is done at the time of surgery. If the masses are malignant, the standard of care is to remove the uterus, appendix, and perform staging biopsies of lymph nodes and the omentum.
while benign growth such as endometriosis can cause an elevation of the CA 125 blood test, i do worry that you could have a malignant change in the masses.
You should also do a bowel laxative preparation the day before the surgery to clean out your intestines. This is done to reduce the bacterial count and also in case a segment of the intestine is adherent to the mass and needs to be removed.
best wishes to you
Display Threadt salpingo ooprhorectomy, appendectomy and mayomectomy a month ago. My right ovary has adult granulosa cell tumor... what is the degree of possibility that the other ovary which is still with me has the same cell tumor?
What steps should I take next.