13cm ovarian mass

Went to the family Dr. 2 weeks ago because of a abdominal pain and constipation. After some questions and general physical checks she sent me to the hospital to have a ultrasound done of the abdominal. The ultrasound showed a large ovarian cyst and she referred me and sent my results to my gynecologists. My gynecologist made an immediate appointment to come into the office. After getting at the office
he gave me a general related exam and said he could not feel the area from the ultrasound. He ordered a vaginal ultrasound which then revealed what he says is a 13 cm mass. After the discovery of this mass the entire demeanor of the visit changed and I was disappointed to find out that he is now referring me to a      gynecologists oncologist. Not allot of info was given beyond this point. He said  he was concerned because 2 yrs ago (April 2004) when he completed my hysterectomy the ovaries were fine. Had the hysterectomy because of fibroids and the related difficulties with the fibroids.  I'm 44 yrs. old w/3 children and worried. No insurance and have been referred to Aultman Hospital in Canton, OH which is a learning hospital and has a clinic that my Dr. said can handle this just fine. Is there hope in all this? It has brought our lives to a screeching halt. Thank You for your time.  

[Annekathryn Goodman, M.D.]

Hi There,
it sounds like you need to have surgery. i would recommend the planned open laparotomy with the remove of the ovary with the 13 cm cyst. A decision about removing your other ovary can be made at the time of surgery. I usually recommend consideration of removal of the appendix at the same time.
I know this must feel very scary. most things are benign but there is no way to know without removing it. it makes sense to see a gyn oncologist. they have the most experience with this kind of surgery. Please let me know what happens
best wishes

[w2bhopeful]

The blood (CA-125) work from the Hospital came back today at 15.9. Hope this to be a positive.

[w2bhopeful]

Thank You for your reply.