Ovarian Cyst - borderline

[suec77]

I had my ovaries removed on Oct. 31.  I was told that the cyst on my right ovary was suspicious.  At the time of surgery the initial report was borderline.  Additional slides were made and the final result was borderline.  I am a breast cancer survivor and this is a little scary to me.  Should I request a second opinion on the slides or contact my oncologist?  The fluids were all clear, no lymph nodes were taken.

[chelan3]

Hi Sue, I was diagnosed with Low Malignant Potential (LMP) Serous Stage 1 Borderline ovarian cancer in 2002.  My frozen section at surgery came back borderline, the final pathology came back borderline, and my dr recommended a second opinion on the pathology as borderline is a tricky diagnosis. There are different types of borderline as well and one called MPSC is more agressive.  My 3rd pathology was done by a pathologist that specialized in gynological pathology.  I also made certain to get a copy of the surgical report, and both pathologies, just for my records.  Especially if you`re looking online it helps to have the official diagnosis.  
I had follow-ups every 6 mos for 5 years, with a yearly ct scan and now just have yearly visits - no ct scan.  I was 33 at diagnosis and had no children so they opted not to do a hysterectomy at my first surgery.  It was recommended that I have a hysterectomy within a few years.  I had it a year and a half later.  Now it seems borderline ovca diagnosis is increasing and they don`t necessarily recommend hysterectomies anymore for it.  
I would contact your oncologist that you had for breast cancer, they`ll likely want to have copies of the report.
As the person above recommended it would be good to see a gynological oncologist if you haven`t already - just for a follow-up as well.
Good Luck to you.
LMP Borderline rarely reoccurs after surgery and even if it does is usually followed up with surgery only.  Because this is a very slow growing cancer , chemo doesn`t work on it and it is not necessary.

Take care,
Debbie

[westajul]

Hi,
from your post I am assuming that you had a borderline tumor. I also had a borderline tumor and  I had a hysterectomy and oopherectomy( removal of my ovaries). My doctors recommeded that I have a ct scan, CEA test and ca-125 test every three months for the 1st year and then every four months for the next year. I went to MD Anderson for a second opinion and they agreed with my doctor.  I would highly recommend you double check with a gynological oncologist about any follow up...especially since you have had breast cancer. There are different types of borderline tumors...so your doctors may recommend different follow up. I always encourage a second opinion.