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complex ovarian cysts found in follow up from colon cancer
Right hemicolectomy (15 cm of colon removed) on Dec. 8/09, biopsy showed stage 1 colon cancer. Emergency CT scan on Jan 22 (leak in anastamosis and hospitalized for 3 days) found a cyst on the left ovary. Follow up transvaginal US on Feb. 19/10. CA125 was 32.5. I also have a family history of ovarian cancer (maternal aunt diagnosed at 39) and breast cancer (sister diagnosed at 36). I now have an appointment with the gyn on March 26. I am 49 and have 2 children 22 and 24.
The ultrasound report is as follows:
Findings: Both transvaginal and transabdominal images were obtained. The uterus is anteverted and measures 9.1 x 4.7 x 5.4 cm. The myometrium contains an anterior fibroid measuring 1.3 cm and a posterior fibroid measuring 2.7 cm. The endometrium measures 1.04 cm and appears homogeneous.
Within right adnexa there is a multicystic mass measuring 5.1 x 4.2 x 4.2 cm containing low level echoes which may be consistent with endometrioma. There is no increased vascularity or solid component present. The left adnexa contains complex mass measuring 6.1 x 4.0 x 6.5 cm. The cystic area measures 3.6 x 4.4 x 3.4 cm and containes an area of increased echogenicity measuring 2 cm. There is an adjacent cyst measuring 3.8 x 3.0 x 3.2 cm which contains low level echoes. There is no increased vascularity present. There is no free fluid in the pelvis.
Impression: There are bilateral adnexal masses present which may be consistent with endometriomas however malignancy cannot be ruled out. Correlation with tumor markers is recommended.
Iron levels still low, on 900 mg of ferrous gluconate daily, very tired and have a constant ache in my hips and lower back (tailbone). No sharp pain. Feeling of being bloated but not constantly.
Am I being unrealistic or jumping the gun in wanting the ovaries removed, I have been in a waiting mode for 6 months with the colon cancer, the stress is not helping at all. Is this unreasonable?
The ultrasound report is as follows:
Findings: Both transvaginal and transabdominal images were obtained. The uterus is anteverted and measures 9.1 x 4.7 x 5.4 cm. The myometrium contains an anterior fibroid measuring 1.3 cm and a posterior fibroid measuring 2.7 cm. The endometrium measures 1.04 cm and appears homogeneous.
Within right adnexa there is a multicystic mass measuring 5.1 x 4.2 x 4.2 cm containing low level echoes which may be consistent with endometrioma. There is no increased vascularity or solid component present. The left adnexa contains complex mass measuring 6.1 x 4.0 x 6.5 cm. The cystic area measures 3.6 x 4.4 x 3.4 cm and containes an area of increased echogenicity measuring 2 cm. There is an adjacent cyst measuring 3.8 x 3.0 x 3.2 cm which contains low level echoes. There is no increased vascularity present. There is no free fluid in the pelvis.
Impression: There are bilateral adnexal masses present which may be consistent with endometriomas however malignancy cannot be ruled out. Correlation with tumor markers is recommended.
Iron levels still low, on 900 mg of ferrous gluconate daily, very tired and have a constant ache in my hips and lower back (tailbone). No sharp pain. Feeling of being bloated but not constantly.
Am I being unrealistic or jumping the gun in wanting the ovaries removed, I have been in a waiting mode for 6 months with the colon cancer, the stress is not helping at all. Is this unreasonable?
MEDICAL PROFESSIONAL
Hi There,
I apologize for my delay. I an glad that you have surgery scheduled. I suspect (and hope) that this will be benign. The normal marker and lack of vascular flow int he ovarian cysts is reassuring. Also with your history of having had an anastomotic leak form your colon surgery makes me wonder if you could have old tubo-ovarian abscesses.
I think surgery is the best option for risk reducing surgery given your family and personal history, for diagnosis and for treatment.
please let us know how your surgery goes
take care
I apologize for my delay. I an glad that you have surgery scheduled. I suspect (and hope) that this will be benign. The normal marker and lack of vascular flow int he ovarian cysts is reassuring. Also with your history of having had an anastomotic leak form your colon surgery makes me wonder if you could have old tubo-ovarian abscesses.
I think surgery is the best option for risk reducing surgery given your family and personal history, for diagnosis and for treatment.
please let us know how your surgery goes
take care
Home from the hospital yesterday...tired and spent the day in bed sleeping. Surgery started laparoscopically, but they found extensive scarring from the endometriosis and had to convert to an open incision. My surgeon said it was difficult to separate the organs because everything was "cemented" together, surgery took over 3 hours. Now I concentrate on healing and wait for the biopsy results. After my hemicolectomy in December/09 I didn't need pain meds when I came home, this time I am using the pain meds and very glad to have them. Each surgery is different I guess.
MEDICAL PROFESSIONAL
good luck today!
best wishes
best wishes
Finally....surgery tomorrow at 8:30 am.
Surgery scheduled for May 13, total hysterectomy with bilateral salpingo-oophorectomy. Tough waiting but at least we have a date...step one.
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