Ovarian Remnant Syndrome

[SMc46]

I had a complete hysterectomy 15 yrs ago.  No problem until last yr when I began experiencing pain in rectum and left side of vigina.  Long story short.....MRI shows oval shaped solid nodule, 2.8x2.4x2.9 cm "abnormality corresponds to left ovary".   Gyn requested hospital records of hysterectomy.......confirmed both ovarys were removed....no endo or cysts were ever mentioned to me.  No prior abdominal surgerys so I should not have had adhesions or scar tissue at time of hysterectomy..  My gyn said the mass was probably an ovary fragment and all was normal.

I am worried that the mass may be adhearing to my intestine causing the pain I have been experiencing each day (in rectum/vigina area) about half hour befor bowel movement.  Also how does Gyn know whether or not this mass is cancer.

[hopeshell]

Wow.  I can't believe she isn't following up with you, especially with your pain.  I the link below it says the standard treatment for ovarian remnant syndrome is to remove the remaining tissue:

http://www.endometriosistreatment.org/html/ovarian%20remnant%20syndrome.html

You should be having surgery to remove that mass.  I don't think you should wait all the way to November with your dr.  He isn't a specialist and you will be waiting again after seeing him.  You need to call  back and tell them about your pain and insist you can't wait for follow-up.  Also, you need copy of your MRI.  If it were to be a malignancy of any type, waiting until November is too risky!  I hope you find some answers.

[SMc46]

Thanks for the response.  

I am concerned about a diagnoses of an ovary fragment, along with pain, as being "normal".  She verified that both ovarys were removed in 1994, and reviewed the U/S and MRI reporting a mass that corresponds to my left ovary.  She (my Gny is a lady) had her nurse call me, after her review of hospital records, to tell me that everything is normal.

There is no surgery scheduled, no other tests, not even a follow-up visit.

I am just left wondering.  I see my family doctor in November, I  guess l'll take up my concerns with him.  I wish doctors would take two minutes of there time to explain why/how they have come to a diagnoses.

[hopeshell]

Good questions and I wish I had answers for you.  I would ask the doctor why he is so sure and make clear that you are concerned.  If I were you, I would seek a second opinion prior ot surgery.  After fifteen years out from your hysterectomy, I wouldn't be comfortable just brushing it off as ovarian remnant syndrome. I don't know much about tha syndrome though.   Primary peritoneal cancer which is basically ovarian cancer when the ovaries aren't there is one thing you will want to rule out.  I would do some research on that and ask to see a gynecological oncologist prior to surgery.  If it were to be primary peritoneal cancer, you HAVE to have a gyn/onc for propery debulking during your surgery.  I am sure there is more info on that on web.  I wish I knew more but it does sound weird to me.  Let us know how it goes.