'Suspect' large right solid adnexal mass

Hey Everyone!  On my recent gyno exam, Dr. felt something on right ovary and sent me for pelvic and transvaginal ultrasound. The radiologist report reads "the right ovary I believe is replaced by a large right solid and adnexal mass" and his impression was "Suspect mass in right ovary, suggest mri w/ contrast for further evaluation". The ob-gyn wants to see me on Monday.  Needless to say, I am a nervous wreck.

I am 41

[MickeyVicki]

Hmmmm, that is not a lot of information, so all I can say is that at least you have age going for you - the younger that you are the less likely the mass will be malignant.  A mass like this one, in a woman in her 50s or 60s or up, would indeed be a frightening proposition.

Have you had any symptoms... like bloating, intestinal upsets, frequent urination, irregular menstrual cycles, abnormal bleeding, pain or discomfort?  Any family history of colon, breast, or ovarian cancers?    If the answer is no to all these questions, then that is better news for you as well.

There are a number of tumors that can form in the ovaries that are not cancerous, so focus on fact for now.  Ask your doctor to speed you through the imaging process; the waiting can be worse than the condition.

Anyway, we are here for you; feel free to unload your worries and fears with us.  And know always that you are in our prayers!

[blackraven]

Yes, I have had other symptoms - lower back ache, more frequent urination, bloating.

Unfortunately I do not have any medical history as I was adopted as a baby.  

From what I have read "solid" is not really a good sign. I have a feeling that the doctor is going to forego the MRI and just do surgery to see what's going on for sure...it's all very unsettling!!! And, yes, the waiting is the hardest part!

Thank you for your support!

[MickeyVicki]

Actually, I would expect the doctor to want an MRI so that he or she will have a better idea of what will be found during surgery.  An MRI should show any suspect lesions in the abdomen.

[blackraven]

Thank you for your responses....it is the unknown that is the worrisome part.

I totally understand (from all the research I've been doing) that most masses are benign, but in the case of Solid mass the research isn't so convincing.  

So, that fact, and the fact that I have no family medical history due to my adoption is making me feel really uneasy.

Is it normal to do an MRI? I thought in the case of solid mass they would want to get it out asap and have a look at it...any help would be appreciated.

When I spoke to my gyn's nurse about getting the referral for the MRI she said she would have to speak to the Dr. and call me. When she did, she said he wanted to see me again before he ordered anymore tests. (I JUST saw him last week - perhaps he is in love with me? lol)

Sorry for going on and on....I'm just freaking out...

[Gatsby]

Just a reminder: 99% of ovarian cysts, tumors, masses are benign.  Good thing the dr. is right on this.  Perhaps you should get a 2nd opinion from a gyn/onc.  They specialize in this and could be very helpful.  You are in my thoughts and prayers.  Godspeed
~Tascha

[MickeyVicki]

Oh, please, just 'go on and on' as much as you need!   Everyone on this forum is either going through the process, or has already been through it, so it's your turn now.

Yes, it is true that being solid increases the chance of malignancy; however, we get back to that issue of age.  And there are solid tumors that are benign.  I cannot recall the statistic but it seems that it was somewhere in the range of 70% found to be benign.  

Well, the familial history is probably not that significant.  Only some 10 to 14 percent of ovarian cancers can be traced to family genetics, which means that most women who have the disease did not have a family history.

Some doctors want an MRI, as I stated.  Some do not.  Your doctor will also likely request a CA-125 blood test, but I guess you have noticed from reading on this site that the test is not particularly reliable.  The test can be affected by other conditions, from endometriosis to liver disease, and not all ovarian cancers secret the antigen anyway.  Still, doctors do order the test as it can be helpful in some cases.

Probably the best advice that anyone can give in this situation is to have a consultation with a gyn oncologist. You will want a specialist to handle your surgery in the event that any cancer is found, as a specialist is the best at locating and removing these growths.  A proper "debulking" of any cancer is the best start to treatment, and in some cases where the cancer is at an early stage, a complete surgery is all the treatment that is needed.

[blackraven]

Thank you ladies so so much!!!!!!!!!!!!!!!!! I am so happy to have found this forum