Hello,
I have a large ovarian mass that has been identified via ultrasound and Petscan. It has been described as large, complex and predominantly cystic multiseptated.The exact origin cannot be determined based on the scans. The lesion is occupying most of my pelvis and measures 13 cm x 11 cm x16 cm (cantalope size, I believe). Trace FTG uptake (max SUV 0.6) is noted corresponding to the solid component. Nothing else suspicious has been seen anywhere else in my body via blood tests and the Petscan.
I have seen two ovarian cancer specialist surgeons here in NYC. I had been hoping to have the surgery by laproscopic. The first surgeon said she could/would start that way but that given the size and potentially immobility of the mass, there was a high likelihoold she would need to convert to full laparotomy (vertical inciision due to placement). She was fine starting with laprascopy then converting during the surgery so long as I was ok with having smaller incisions then a larger one. The second surgeon said very assertively that this must be done via laparotomy (also with vertical incision due to placement of the mass). His rationale for laparotomy was size and placement although he does do over 80% of his surgeries via laprascopy.
The second surgeon who prefers "straight to laparotomy" is probably more experienced and is highly rated in NYC. The first surgeon is younger and I really liked her a lot, but she is probably less experienced -- allthough definitely up on the latest technology (not to say the other one isn't, though). I am trying to figure out what to do. Clearly I want to rule out cancer (estimated at 20% possibility due to age, complexity, etc) but I am also hoping to have the best possibly recovery from the surgery and laprosopy is much less invasive.
Please advise.
Thank you.