Borderline tumor with intraepithelial carcinoma

[pinelee]

I had a cyst in my right ovary removed 4 weeks ago (4cm x 3.5cm x 3cm) It was done laparoscopically, but due to the fact that it was thought to just be a simple cyst it was NOT bagged.  The pathalogical report came back saying it was a "mucinous borderline tumor of intestinal type, with focal intraepithelial carcinoma"  I have a surgery scheduled for Oct 24.  My doctor's first suggestion was to take the ovary and fallopian tube and to just check the appendix to see if it requires removal and to do washings.  I am wondering though if that should be sufficient or if more should be removed?  I am also wondering what "intraepithelial carcinoma" means in regards to the severity of the diagnosis.  The doctor also told me that my bowel was extremely enlarged, can this be connected in any way?
I am finished having children, so that is not a concern for me.  I also have endo. (some of which was cautorized when the tumor was removed) and about 2 years ago had a LEEP to remove pre-cancer cells in my cervix.
My date is coming up quickly and I just want to make sure everything is done right so I don't have to go back in again if I can help it.  There are no gyn/onc in my area to ask about this.

Thanks for your time.

[Annekathryn Goodman, M.D.]

Hi Pinelee,

you have a borderline tumor of the ovary confirmed by 2 pathologists
the subtype was mucinous and there was intraoperative rupture
you have a history of endometriosis and cervical dysplasia
you have completed your family.

The most complete intervention that you could consider would be to remove the uterus, both ovaries and fallopian tubes, the appendix, and undergo staging biopsies - biopsies of the lining of the peritoneum, omentum, and possibly lymph node biopsies.

The least intervention would be to remove the right fallopian tube and ovary.

You should review this range of options with your doctor.
the advantage of a small surgery is that your healing time and recovery are shorter and you preserve your fertility. By preserving your left ovary, you do not go into surgical menopause.

The advantage of a complete surgery is that you have prevention of other malignancies in the female tract and you have complete information about microscopic improvement of your other ovary, uterus, appendix.

Mucinous borderline tumors are usually unilateral - that is , only involving one ovary. But there may be a risk of other malignancies. Endometriosis may be associated with the development of malignancies such as clear cell cancers and endometrioid adenocarcinomas.

Other risk factors for malignancy include family history of breast, ovarian, endometrial cancers or a personal history of other cancers.

best wishes

[pinelee]

I did get the pathology report confirmed by a second pathologist.