Can borderline ovca occur concurrently with with frankly malignant cancer?

[seraphinite]

hello Dr. Goodman - i had a laparoscopy done on 6/14 to remove what was thought to be a dermoid on my right ovary.  the 7cm mass was removed along with the involved right ovary and fallopian tube.  the pathology returned a surprise - it was not a dermoid, but rather a "borderline mucinous tumor, endocervical-like of ovary."  because no cancer was suspected at the time of surgery, no peritoneal wash nor any staging was done.  my gyno surgeon observed everything else she saw as looking "clean."  i requested a second opinion on the path report and  they concurred - "mucinous cystadenoma of low malignant potential..." which is "lined by endocervical type epithelium."  i was referred to a gyno-oncologist at OHSU in portland, oregon who will perform a TAH, appendectomy, omentectomy, and lymph node dissection on 9/28.  i had pelvic and abdominal cat scans done on 8/16 and am going quite mad awaiting results - partly because i've been experiencing new pain in my right side inguinal area and further into the right side of my groin.  during the laporascopy, my doctor discovered a right side congenital inguinal hernia that at the time was causing no symptoms and had no protrusions.  my doctor referred me to a general surgeon so that if it is the hernia, it can be repaired during the lap for TAH, but i can't see him until next week.  i am worried that this new pain is not hernia related and might be some inguinal lymph node swelling due to some spread of ovca or other cancer in there (no stds).  is it possible for another frankly malignant cancer to occur concurrently with lmp ovca?

[Annekathryn Goodman, M.D.]

Hi There,
You are definitely in excellent hands. I agree with the present management plan. I do not think that your pain is related to the ovarian tumor. Bordeline tumors grow slowly over many years and recur (rarely) many years later. It is possible that your first surgery has uncovered some weakness with the hernia and that is causing your pain right now. It is also possible that your pain is related to a muscle strain after the first surgery. Pain can also be secondary to infection. You should check in with your surgeon and have a good examination of the area
best wishes to you.

[seraphinite]

thank you so much for your time and expertise.  you have reassured me and i am enormously grateful.  you are doing a great service to all of us here - may you be richly rewarded.