Advice for LMP Surgery

I am scheduled to have my ovarian cyst/tumor removed on 3/22. My gyn/onc who is wonderful. He is the Senior gyn/onc at University Hospital and basically teaches all the other gyns how to be a gyn/oncs. He is 99% sure it is a boarderline or LMP. He has given me all my options. 1st if it is completely benign a laparotomy to remove it and a D&C to take care of endometriosis and polyp that I have in the uterus. If it is borderline like he expects, I have more options. Get a complete hysterectomy, and staging surgery just in case: some omentum removal, some lymph nodes removed, I think an apendectomy diaphram scrapping (my terms not his)  and something else or do the the original surgery and take a wait and see approach? If in the rare instance it is malignant (which he does not think it would be) then the surgery would pretty much be the same. My question is if it is benign, mucinous or serous cystadenoma, should I just go for the hysterectomy anyway and get rid of all furture concerns? After this last period of back pain and cramping the prospect of being done with that for good sounds very appealing. I'm 47, two teens, not going to have any more, probably going to start menopause within the next few years anyway. Any advice or things I should consider?

[chelan3]

Hi, I was 32 (in 2002) when I had a complex cyst removed that turned out to be LMP ovarian cancer.  I opted for a full hysterectomy a year and a half later.  It was a good decision.  I've had no problems since.  I'm sure your gyn/onc is doing a frozen section pathology but you should ask to make sure. I would ask for a second opinion on the pathology especially if it's borderline.  Follow-ups are usually still the norm for borderline diagnosis so ask your dr about them as well.  
It sounds like you're in good hands.
And yes, saying goodbye to my periods was a great relief!

[ilisten]

TAKE NO CHANCES!!
hat is my opinion. I was diagnosed with oc stage 3a in 2006, recurrence in 2008, have been on a clinical trial that saved my life for the last 20 months. Ovarian cancer is  a rare and dangerous cancer. If there is any thought that you mkight now have it, or that you might EVER get it, TAKE NO CHANCES.
Your doc should be doing a fast analysis immediately during surgery and also sending the tissue off for a really indepth analysis as well. But the immediate analysis may tell you if ANY cancer cells are there. Make your decision before surgery and know taht you have given it your best guess.
You are in my thoughts and I wish you the very best.

[islandgrl47]

When you were initially diagnosed did you have ovarian LMP? Did you initially have everything taken out or did they take a wait and see approach? If you wouldn't mind sharing.

[Rosmi]

Hi Ilisten, I am facing 1st recurrence  after 18 months since my last chemo treatment, 08/13/09, and only 5 months after ending avastin maintenance treatment Sep , 2011. CA 125 rise in January from 10 to 27 ( in a scale of 35) Clear Pet;  in March it rise to 117, waiting this week for my CA results.  My question is what chemio (clinical trial) did you  used for your recurrence?
Thanks in advance for your time.

[gls2824]

My situation was very much like yours (even the polyp).  My doctor gave me the same options.  I told him if it came back borderline, just take everything out.  I have no regrets.  I was 54 at the time and it did throw me into menopause completely, which was no big deal.

I agree with the others -- better safe than sorry.  It's over 2 years for me and I'm fine.  I see my gynoc every 6 months for a check-up.