Reoccurance of lymphyadenopathy in sacrum region

I m 54 yr old i got ovarian cancer in 2005 stg 3c i got surgery and thn chemotrpahy with dozes of tch and b500 and taxol then i responded well and was able to return to normal life then in year 2009 now my scan shows this findings

Finddings;
  
an avoid soft tissue denisty mass seen deep in the pelvis anterior to sacrum . It measures 7multiplication 6 cm in size ans shows central hypodenisty ,Its peripheral part shows contrasts enhancment . there is minmal soft tssue straning around it .It lies in realtion with rectum below the uniary bladder and anterior to saccrum . this can respresnt a residual / recurrent mass of ovarian region . Enlarged lymphnodes seen in right iliac region close to iliac vesels measuring 2.4 multiply 2.5 cm in size . no focal lesion seen in liver or exposed lung fields.

[Annekathryn Goodman, M.D.]

Hi There,
thank you for your question.
you have new findings 4 years after excellent therapy for ovarian cancer. I am quite concerned that this could be a recurrence of your cancer.

There are two approaches to sorting this out:
biopsy
or surgery

Ask your doctor whether the mass can be safely surgically removed. If so, I would lean towards that approach.
However, if surgery does not seem appropriate and a biopsy is done that shows cancer, then starting back on carboplatin and taxol or carboplatin and gemzar would be the standard next step.
please let us know how you are doing

take care