What is this?

[kgray969]

I had a CT of my abdomen yesterday because my physician thought I had an adrenal adenoma.  Instead my CT showed a complex multiocular cystic mass midline pelvis 8.8cm by 4.2cm with multiple septations, likely ovarian in etiology. the radiologist also noted GYN follow necessary because neoplasm not excluded. I had a hysterectomy 10 years ago due to uterine fibroids. At that time on of my ovaries was also removed because of multiple cysts. I have had a dramatic increase in abdominal girth in the past 2 months with peripheral edema and accelerated HTN requiring me to be on 5 antihypertensives including lasix 80mg daily and aldactone 25mg.  I also have a diagnosis of Mixed Connective tissue disease. What does this mean?

[kgray969]

Thank you very much.  I had an ultrasound today that was inconclusive.  The GYN was unable to tell me whether it was cancerous or not.  He ordered the CA 125 and some other labs and an ultrasound of both breasts because one of them was pretty swollen. He wants to schedule surgery after the labs come back.  By the way, I am 38 years old, and had a partial hysterectomy at age 29 with my uterus and one ovary and tube removed then, because at that time I had large uterine fibroids, and my left ovary was covered with cysts. The waiting is so agonizing.  My 2 eldest daughters are both expecting babies right now, and they are relying on me for child care so they can both finish college. I just cant believe this is happening right now!    
                                                                                      Katrina

[hopeshell]

Well, you have a complex cyst that is larger than they like to leave (over 5cm).  Any complex cyst can be malignant but most do turn out to be benign.  I think you should pursue getting it removed as soon as possible.  The earlier the better with ovca.  I feel like a broken record with the comment but it is a very important one....you need to see a gynecologic oncologist before your surgery.  He/she needs to be available to take over your surgery if the frozen section comes back malignant.  This can make a difference in your prognosis because gyn/oncs are more experienced removing tumors without spreading the cancer and they will properly stage you and remove other necessary parts all in the same surgery.  This will help you get follow up treatment sooner and you will avoid a second surgery.  Here is a link to help you find one in your area and it also lists more reasons why a gyn/onc is so important.  

http://www.wcn.org/interior.cfm?diseaseid=13&featureid=4

You don't mention your age but this type of cyst is much more likely to be benign if you are premenopausal.  Either way, try not to worry or scare yourself with internet searches.  I had a CT similar to yours and I was dx as stage 1a last year.   Good luck to you.