Mucinous Cystadenoma of Low Potential

[scerolca]

Nearly two years ago, I had my left ovary removed surgically due to a large mucinous cystadenoma diagnosed as borderline malignant.  This tumor appeared and grew very large between the time I had my second child and 10 months following.

At my recent doctor's visit, I had a routine sonogram "just as a precaution".  The sonogram revealed a small cyst on my right ovary.  I was told that it was a nonfunctional cyst (I have been on birth control pills for years in between pregnancies) but small so nothing to be concerned about and that I could have another sonogram in 6 months or could wait until my next annual appointment to be checked again.  I am scheduled to have a CA-125 annually and based on my age (35) perhaps shouldn't be concerned.  But I can't help wondering if it is really appropriate to wait so long for a follow up based on my history.  How likely is a recurrence of the cystadenoma or a malignancy?

[Annekathryn Goodman, M.D.]

Hi There,
I agree with Jlyer. I would probably recheck your ovary in 3 months. the other issue to consider is whether you are at risk for the development of ovarian cancer in the future. Should you consider the prophylactic removal of your other ovary and tube after you have completed your family/
These are questions you should discuss with your gyn oncologist
best wishes

[JIyer]

Hope you are seeing gyneoncologist with regular follow ups. You may ask your gyne oncologist whether the removal of the other ovary will rule out future OVCA. You may have other considerations. I had the uterus and one ovary removed many years back. I developed a cyst on the remaining ovary. Surgery and I am now dealing with a low grade OVCA. Just completed chemo and the CA125 is normal and the scan shows no growth. Now the anxious waiting starts. I am on tamoxifen. You may ask your doctor whether this drug is good for you. Good luck. Take care