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ovarian cancer or fibroids

week ago during annual exam,OB found a mass.CA-125 =16,
CT showsuterus lies to the left of midline,mildly enlarged.Small
volumein endometrial cavity.Left ovary normal.7x8x8 mass arising from right adnexawhich appearsnto be lower attenuatian than the adjacent muscle or uterus.Suggest a syst with septations.this is indinstinct and inseparable fron right ovary.
Countour slightly lobular,but the margins are distinct.No indication of infiltrative process,although the mass is closely adjacent to the obturator musculature.The ureter passes doesn't
appear obstructed.No free fluid or adenopathy within pelvis.The mesentery shows no evidence for tumor implants.
I saw Gyn/onc today and he told,that he can't tell for sure
until surgery.He told that it 50/50 chance.
Is it CT can't tell or CA-125.
I am 45,have 2 children.Did not have symptoms exempt gas and
some pain during periods.For 2 year OBGYN watch fibroids.
Can somebody give me some clue?
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Avatar universal
Hi,again,
Needs to make decision.I alredy seen by 2 surgeons,both was
highly refferal by friends and doctors.
One told,that everything needs to be remove (I am 45).
Another will start from laparoscopy and then will decide,
depending on condition.
First doctor on vacation and can do surgery on 20th,
another can do next week.I am so tired and have anxiety,so I
don't know what's better.
I live in SF/ Bay Area.First doctor in SF, second close to my house.I don't now what to do?
Any suggestions?
Helpful - 0
Avatar universal
Well, you can always get a second opinion, but since you have a gyn/onc then you already have what you need to be sure of a better surgical outcome.  I would think that surgery on the 20th would be about right.  Your mass has just been discovered, and you need time to prepare.  

I will add this thought, too, even though it is just a guess...I believe that if your surgeon felt your symptoms strongly indicated cancer then you would have been scheduled for surgery immediately.  I know from talking to the nurses that my doctor has sent women for images, and  then scheduled them for emergency surgery the day after receiving the reports when  she believed the reports indicated cancer.  Other women posting on this forum during the past year have indicated similar schedules.
Helpful - 0
Avatar universal
Thank you very much.Do you think I need a second opinion?
I understand,that it will be surgery anyway.
But may be he can say something more definite.
My surgery sceduled on October 20.Do I need to push it early?
I am so worried and my mom died from breast cancer and my dad died from colon just 3 mo ago.
Can  CA-125,if it's normal give me some to relax a little?
Helpful - 0
Avatar universal
No, unfortunately not.  That is the nature of such ovarian conditions.  The only way to determine for certain whether a mass is benign or malignant is to perform surgery.  Very frustrating, isn't it?!

I can tell you this: your report's description of the probable cyst reads similar to mine from last year. At surgery, my doctor discovered that I had an endometrioma.  It was benign.  I would also make a guess from your CT report, which indicates no evidence of spread, that if your mass is indeed malignant then it has probably been found very early.   I know women who were not so lucky and the first images made after the discovery of their ovarian masses indicated additional tumors in the abdomen as well as large amounts of fluid and lymphadenopathy.   Anyway, I am glad to read that you have a gyn/onc, a specialist in such surgeries, so you should be in good hands.
Helpful - 0
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