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Ovarian Cancer  (Expert Forum)
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Large Fibroid and Laparascopy
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center Boston - MA
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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.

Large Fibroid and Laparascopy

by IKAP, Aug 19, 2006 12:00AM
Hello,



Thanks so much to your reply to my previous post: "Large Fibroid". I stoped taking tamoxifen two years ago after almost going for the hysterectomy because of it's side effects. I stopped menstruating,my right ovary increased in size immensely and it had complex cyst(s). My OBGYN was almost sure it's cancer. I got second opinion, stopped tamoxifen, saw improvements and cancelled my surgery 2 days before. So I haven't been on tamoxifen in the past year when my fibroid grew 3.5 cm. I'm pre-menaposal. Can this be attributed to such growth?



Do you think the firboid of 10cm can be removed laparascopically?



Thanks a lot!

Innakap

by Annekathryn Goodman, M.D., Aug 22, 2006 12:00AM
Hi Innakap,

Thank you for the additional information. If you have been off Tamoxifen for two years, then we can no longer blame Tam for the fibroid growth. Sometimes fibroids just do grow. Yes some fibroids can be removed laparoscopically but it depends on where it is located. There are a few dicey areas near the blood vessels or the ureters when I think a laparoscopic approach can be dangerous and increase complications. Ultimately, you need to ask your surgeon which approach they think is best and trust their judgement. Remember laparoscpy is just a tool that sometimes is appropriate and sometimes not.

take care
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