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complex ovarian cysts found in follow up from colon cancer
Very glad I found this website, finally I feel like I can talk to someone who may understand how I am feeling. A brief history...diagnosed with anemia at my yearly physical in April/09, follow up colonoscopy found a tumor and had 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. Called by my family doc on Feb. 23 and advised CA125 needed and follow up with gynecologist will be scheduled. 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 just want it removed! 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 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. I have my family already and want some peace of mind. Is this unreasonable? Anyone who had a similar experience?
Thanks.
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 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. I have my family already and want some peace of mind. Is this unreasonable? Anyone who had a similar experience?
Thanks.
Biopsy results expected in 2 weeks. Library books and pillow are ready for rest today. It is amazind how tired you can be after surgery, but I will listen to my body, if it wants to sleep, then sleep it is! Thank you again for the well wishes, it really helps to know others know exactly how you feel while you are enduring the endless waiting....this forum is a god send.
I'm glad you are home and starting your recovery. Definitely take the pain meds on schedule and don't let your pain get out of control. Make sure you are getting plenty of rest. That is the key to a full recovery. When do you get the results of your biopsy? Please let us know what you find out. I'll be praying for great results.
thank god its all behind you now its time for healing be good to yourself time to be pampered and you deserve it i will pray for you god bless x
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.
Good luck tomorrow. I will be saying a prayer for you. Please let us know how you are doing when you feel up to it.
I hope you are having a gyn/onc do the surgery. In such case that you have a malignancy you want it tested while you're on the table and to have a gyn/onc do your surgery and staging. I hope and pray that all goes well with this. I live in Ayr so am just a short drive away from you. Please keep us posted on how you're doing.
Surgery scheduled for May 13, total hysterectomy with bilateral salpingo-oophorectomy. Tough waiting but at least we have a date...step one.
I am in agreement with you. Remove the ovaries and cysts now.
Can you be referred to a gynecologisy/oncologist? Strongly recommended. You want this stuff removed correctly in one surgery.
I lost my ovaries at age 48, nearly 49. Read my full story in my profile.
Can you be referred to a gynecologisy/oncologist? Strongly recommended. You want this stuff removed correctly in one surgery.
I lost my ovaries at age 48, nearly 49. Read my full story in my profile.
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