ovarian enlargement

[san2]

Hi

I am wiritng this on behalf of my mom who has been recently diagnosed of ovarian lesions.

ABOUT THE PATIENT:

AGE - 53

MENOPAUSAL - YES - 2 years back

FAMILY HISTORY OF OVARIAN CYSTS/ BREAST CANCER/MALIGNANCY - YES


SYMPTOMS:

- acute lower abodminal pain for more than 4 months
- walking difficulties
- mild rise in temperature at nights

EXAMINATION:

- USG -  OVARIAN CYSTS SIZING 3.8*3.6MM
- CT SCAN  - LEFT OVARY - 4.5MM ENLARGED ; RIGHT OVARY - 7mm*4MM GROSSLY ENLARGED ; BILATERAL OVARIAN LESIONS WITH POSITIVE NEOPLASMS ; PEROTINIAL FOLLICULES DOUBTED

- doctors feel that the ovaries contain MASS and the other is 50% cystic

- CA 125 - 145

SUSPENSION:

- ovary - mailgnant / benign
- tuberculosis

After referring the physian and oncologist, they doctors have proposed to do a LAPAROSCOPY followed by STAGING LAPOROTOMY.

I wish to knwo for the following:

1. Is the above case suspected of OVARIAN CANCER? When does that come to a conclusion?
2. Is the treatment on right track?

[jlock]

I would say that her Dr.s seem to be leaning towards the ovca diagnosis. I would only allow a gyn/onc to do the surgery on her.  So at this point I would recommend her going to a gyn/onc. They can suspect ovca and be correct,but it's not until the surgery  and pathology that they can say with certainty that it is ovca and what stage she is.  She does seem to be on the right track at this point,but I would again like to stress on you that she use a onc/gyn for any more visits or surgeries. There is documented proof that women who use a gyn/onc have a better overall outcome with this disease...and as nasty as this disease is a specialist is your best bet.  Good luck~~~Joanne

[san2]

hello....

SORRY but i guess i mentioned the dimensions wrong...

It is 4.5CENTIMETERS and 7CM*4CM and not MILLIMETERS.