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568407 tn?1218068521

suspected malignancy - seeking advice for complex ovarian mass during 1st trimester pregnancy

I am 36 and am 8 weeks 4 days pregnant and have just discovered through an US after cramping in my left side that my left ovary measures 3.5 x 2.2 x 2.7 cm and attached to this left ovary is a large complex solid and cystic mass in the left adnexa, measuring (5.4 x 2.4 x 5.4 cm) with evidence of a large mural nodularity, the largest of which measures (3.4x2.7x3.0 cm) There is no hypervascularity. The right ovary is unremarkable, measuring 4.7 x 2.4 x 3.2 cm.  No free fluid is identified.

I am being referred to a gyn/oncologist because malignancy is suspected.  

I am seeking additional advice to support the advice I have already received or explore alternative options for treatment.

I have a follow up ultrasound scheduled in one month to observe the cysts size.  If it has shrunk it is likely that it was blood clotting that was showing up on the US and the cyst will continue to shrink making this a functional, albiet unusual cyst.

If there is no size reduction or growth shown through the US I am being advised to have surgery in my second trimester of pregnancy to remove the cyst so that it can be checked for malignancy.

I would like to know what the risks are associated with waiting a few more months to see if the cyst will reduce in size.  What are the chances that a cyst will reduce in size? What is the optimal time to have an invasive procedure during gestation and why?  Are there any steps I can take to encourage size reduction or elimination naturally?  What is indicated by the observation of no free fluid is identified?  Is there anything I can do that is non-narcotic for the pain.  I am currently taking tylenol every 4 hours.

Are there any contraindications during pregnancy for the use of acupuncture to reduce the size of the cyst?

I appreciate your input and thank you in advance for your time.
2 Responses
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543028 tn?1282428826
look at the bottom of the thread on the question i have on the expert forum
i hope she can answer u there eventhough its kind of a roundabout way to get it on there
love
sharon
Helpful - 0
543028 tn?1282428826
okies i am going totry to copy it under a thread i started and see if u can get a response ... keep trying to post it on the expert forum in the meanwhil ... god be with u now more than ever
sharon
Helpful - 0
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