Hi,
I am 36 y.o. woman, without children. I have a left ovarian complex cyst that has been followed for slightly over a year now. (I have had 4 ultrasounds and 2 MRI's). My GYN doctor has been suggesting a laparoscopic surgery which I have been trying to avoid, till now.
Healthwise, I am pretty "normal" I would say. Average weight, average health. On the down side, I have some level of pain during my period (sometimes high, sometimes mild), occasional pain in my lower left and/or right abdomen, I am occasionally bloated and tend to have a talkative tummy, I occasionally have frequency and/or urgent need to urinate, and I often feel a little tired (but not overly fatigued). Those are my down, but overall I feel "relatively" fine and healthy.
My complex cyst seems to be varying very slightly between exams (average and latest size: 3.8 x 2.7 x 3.8).
It seems to be described ever so slightly differently at each exam.
In chronological order here are the findings:
-complex cyst with thick fluid and several solid areas within/ (also small amount of free fluid in right adnexa)
-cystic mass with irregular border and soft tissue complement/ (the myometrium is heterogenious raising the question of diffuse adenomyomatosis/ ovarian cystic mass most likely represent endometriomas)
-hemorragic cyst/ (most likely physiologic/small amount of free fluid in cul de sac and adjacent to right ovary)
-hypoechoic lesion with internal debris and thin avasular septation/ (atypical endometriomas?)
-oval left sided cystic lesion/
-complex cystic lesion with enhancing nodular component suspicious of ovarian neoplasm (latest MRI)
I have no or very little history of cancer in my family (my grandfather was diagnosized with colon cancer in his 80's), no one else that I know of has had cancer.
I had some blood tests done mostly normal, ever so above normal CA-125 @ 24 (very low for a high it seems)
My first question is:
What is the likelyhood that it may be cancer?
And my second question is:
I finally agreed that I indeed need the laparoscopic surgery and during my pre-op appointment my GYN (who is not an Oncologist) asked me if I want an Oncologist present during the operation or if I would prefer that he stops the operation if the "lesion" appears malignant and deal with it after the laparoscopy. He wanted an immediate answer, but I felt I needed a day or two to think about it.
From my research, if it is malignant, it will require a quick response and a very skilled GYN/Oncologist. If I am not sure, during my laparoscopy, of who the GYN/Oncologist would be, and how skilled they may be, am I better off not having one at that time and dealing with it after the laparoscopy? Or should I have one regardless of whether I will know who he or she would be?...
Thank you very much for reading and for your feedback. I really appreciate.