What should I do next?

[SLPMel]

I am a 28 year old woman who was diagnosed with a solid mass on my left ovary.  I had a pelvic infection, and wound up in the ER and it was found by the ultrasound they completed.  I have a history of endometriosis, and have had 2 laparoscopies in the past 10 years.  They did not do the CA-125 test on me because of my history of endo.

I've been showing a lot of other symptoms with ovarian cancer.  I've started to show signs of ascites (I see my dr tomorrow), an increase in my waist, tiredness, heavier periods, bleeding between periods.  

I just had another ultrasound done 2 nights ago.  My gyn can't fit me in until early next month (due to the holidays and vacations).

I know I'm only 28.  I know my chances of it being cancer is very small.  But it could still happen, and I don't know if I can keep myself sane waiting until February to get it biopsied.  I am scared, and I'm really nervous.  I just have a really bad feeling about this.

Should my next step be to wait until I see my gyn in January, or should I get a second opinion from a gynecologic oncologist? I have a recommendation to see someone, and I'd rather take the chance that a gyn/onc will take it out and it will be benign rather than have my gyn take it out and have it be malignant.

Any other advice?

Thanks so much

Melissa

[SLPMel]

Thanks Chris-I so appreciate you responding.

My f/u ultrasound showed a "echogenic area in the left ovary of unknown etiology, but continued follow up is recommended".  It is not a fibroid.

My abdomen has swelled up immensely-I look about 4 months pregnant.  None of my pants fit.  I'm going to my PCP tonight to have it looked at and will probably push for an MRI.  

I wish there was more information-it especially concerns me with the new fluid.  I don't know what is going on with my body!

Thank you so much.

Melissa

[ChrisP2236]

You are wise to prefer the gyn/onc if there is any suspicion of cancer.  If you can get a second opinion from one it's probably a good idea, and you are correct about having the gyn/onc perform the surgery - it's a much better way to go if there is any possibility of cancer.  Just because you have endometriosis doesn't mean you also can't have cancer, though hopefully you don't. I was loaded with endo, and also had ovca.  The earlier you find it the better.  Good luck, Chris P