Ovarian cancer tumors

[barbtilly]

I had a transvaginal ultrasound and regular outer ultrasound for pelvic discomfort.  I had a endrometrial ablation 2 years ago and prior to surgery had a transvaginal ultrasound to check for fibroids-the abalantion was done for heavy bleeding -it worked no periods since June 2008.  I began pelvic discomfrt and went to the gyno they did another ultrasound and compared it to the one from May 2008.  I was concerned about ovarina cancer symptoms and pelvic discomfort.  The dr told me there were no tumors or masses and the ultrasound in March look the same as the one in May 2008.  I asked about the white spot the tech measured on my uterus and said was 1cm and was probably a fibroid or polyp-whenI asked the dr about this her response wa What spot? I explained I saw it and the tech showed it to me and she then told me it was the same as 2 years ago.  I am now concerned that I was pusshed out of the office with the attitude there is no cancer present move on and get a colonoscopy.  I am 51 years old and have symptoms of ovarian cancer as do most women.. Does anyone know if the three typese of ovarian cancer all appear in the form of a tumor or mass-the dr seemed to refer to the test results as no problem nothing is seen---can all ovarian cancer indicators be seen?  I am confused so I have another appt with a gyno/urologist for a seocond opinion and for him to look t the test results.  I am going to have a colonosocpy soon but still am a reck not knowing if I should move on and trust the dr or be worried.  any knowledge of ovarian cancer indicators as far tumors or masses, can oc form in the cells and not be seen by the ultrasound.  I was told by the tech and the dor there was no tumors or masses and the vaginal check by the dor she did not feel anything other than an enlarged uterus.  Thanks and God be with all of you that are dealing with ovarian cancer.

[Annekathryn Goodman, M.D.]

Hi There,
ovarian cancer diagnosis can only be made after the surgical removal of the ovaries with an evaluation microscopically.
From your description, it sounds like you have a normal imaging study of the gyn organs and the recommendation is for an evaluation of your GI tract to see if this is the reason for your discomfort is reasonable.

Ultimately if your discomfort persists after a normal work up, you need to see your doctor again for a follow up exam.
best wishes

[barbtilly]

Thank YOU,

I have to go to the next appt and see what this dr wants to do.  I have read that a laparoscopy should be done by a gyn/onc because of the chance of spreading cancer if that is what it is.  I don't want to tak any more chances and I don't want this dr to start surgery, I think I will go to him and if he suspects with my symptoms getting worse. to have him refer me to a gyn/onc.  I am suspecting he will order some test ultrasound of the stomach and bloodwork .

It is very comfroting to know there is a dr out there that will help try to calm us.  I was just really trying to determine if all ovarian cancer is in the form of a tumor or mass.  Since I have told there were no abnormalties to the two ultrasounds and neither dr found anything.  

Thanks again

[Annekathryn Goodman, M.D.]

Hi There,
diagnostic laparoscopy would be the next step. if normal, you may have irritable bowel syndrome
best wishes

[barbtilly]

Thank you doctor,
I have had my colonoscopy and that was clear, I have another appt with the gyn/urol on the 18th, but my symptoms are worsening I believe. I have the discomfort across my pelvic area almost everyday all day.  I have the symptom of not eating and feeling full all the time - I eat one time a day and I am contend and that was never me before.  I have bloating some of the time.  I have been just told there are no masses or tumors and everything you read about mentions tumors-so I was confused. I realize that cancer cannot be diagnoised without a biopsy, but I just wondered if it is not seen inthe form of a tumor is it not cancer-since the first doctor seemed to be relaying on that vaignal exam and the ultrasound results.  Thanks again