Findings: Complex mixed cystic & solid right adnexal/ovarian mass. No free fluid identified. Entire region of right ovary very enlarged measuring 7 X 3.2 cm. left ovary measures 2 X 2.5 X 3.9 cm. abnormal thickening of endometrium measuring 15mm. Ovarian neoplastic process is not excluded given the appearance of the right ovary and adnexal region.
Uterus measures 8.8 X 5.5 X 4.5cm. Endometrial stripe measures 1.5cm.
My symptoms are bloating, irregular / prolonged menstral cycles, spotting, heavy bleeding & clotting, constipation, lower abdomenal pain (sometimes to the point it bends me over), pain during intercourse, infertility
I agree with your plans. You have some sort of ovarian tumor. Most tumors of the ovary are benign at your age but some are malignant, so having a gyn oncologist perform your surgery is important.
I would suggest a CA 125 and a CT scan
Sometimes, checking a biopsy of the lining of the uterus (an endometrial biopsy) to rule out a malignant change in the lining is helpful. Sometime, I do that at the time of surgery if the ovarian tumor is benign
if the CA 125 ad CT scan show no other findings, surgery could start with a laparoscopic evaluation to see if it is a benign tumor that can be removed with a minimally invasive approach
At 7 cm, some surgeons would go straight to a bigger incision called a laparotomy to remove the tumor.
It could be that this is all severe , benign endometriosis which ca cause cysts, pain and so on - if so and if you have completed your family, a full removal of the uterus, tubes and ovaries is curative.
if a cancer is found, the standard surgery is a full hysterectomy (REMOVAL OF UTERUS, CERVIX, TUBES, OVARIES) and staging biopsies (appendix, lymph nodes, biopsy or removal of the omentum
please let us know what happens
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.