Findings: Complex mixed cystic & solid right adnexal/ovarian mass. No free fluid identified. Entire region of right ovary very enlarged measuring 7 X 3.2 cm. left ovary measures 2 X 2.5 X 3.9 cm. abnormal thickening of endometrium measuring 15mm. Ovarian neoplastic process is not excluded given the appearance of the right ovary and adnexal region.
Uterus measures 8.8 X 5.5 X 4.5cm. Endometrial stripe measures 1.5cm.
My symptoms are bloating, irregular / prolonged menstral cycles, spotting, heavy bleeding & clotting, constipation, lower abdomenal pain (sometimes to the point it bends me over), pain during intercourse, infertility
I agree with your plans. You have some sort of ovarian tumor. Most tumors of the ovary are benign at your age but some are malignant, so having a gyn oncologist perform your surgery is important.
I would suggest a CA 125 and a CT scan
Sometimes, checking a biopsy of the lining of the uterus (an endometrial biopsy) to rule out a malignant change in the lining is helpful. Sometime, I do that at the time of surgery if the ovarian tumor is benign
if the CA 125 ad CT scan show no other findings, surgery could start with a laparoscopic evaluation to see if it is a benign tumor that can be removed with a minimally invasive approach
At 7 cm, some surgeons would go straight to a bigger incision called a laparotomy to remove the tumor.
It could be that this is all severe , benign endometriosis which ca cause cysts, pain and so on - if so and if you have completed your family, a full removal of the uterus, tubes and ovaries is curative.
if a cancer is found, the standard surgery is a full hysterectomy (REMOVAL OF UTERUS, CERVIX, TUBES, OVARIES) and staging biopsies (appendix, lymph nodes, biopsy or removal of the omentum
please let us know what happens
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