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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There A Chance Of Cancer In Ovaries?

Hi I am a 45 year old woman about 120 lbs and 5'6" tall. Due to the appearance of the Leser Trelat sign on my torso my doctors have been checking me for adenocarcinoma and after an endoscopy and colonscopy and CT scan of the abdomen and pelvis found to ulcerations in the stomach and colon (biopsied and no caner cells were found). The CT scan showed a cyst on one of my fallopian tubes and they are planning to send me for another to check if it is still there before they proceed further. Nothing else was detected on the first CT scan. Should I be concerned regarding a potential cancer of my ovaries, fallopian tubes, etc.
Fri, 23 May 2014
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Oncologist,  's  Response
Although Leser Trelat sign is associated with malignancy, cases have been reported in literature where it occured with benign tumors as well. The suspicion of index for a malignant primary tumor should remain high.
If the repeat CT scan shows the cyst on the fallopian tube, it should be biopsied.
If the cyst is not there, I would strongly recommend a PET CT scan to look for any occult malignant tumor.
I hope your query has been answered. If you have any further questions, I would be more than happy to answer them.
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Is There A Chance Of Cancer In Ovaries?

Although Leser Trelat sign is associated with malignancy, cases have been reported in literature where it occured with benign tumors as well. The suspicion of index for a malignant primary tumor should remain high. If the repeat CT scan shows the cyst on the fallopian tube, it should be biopsied. If the cyst is not there, I would strongly recommend a PET CT scan to look for any occult malignant tumor. I hope your query has been answered. If you have any further questions, I would be more than happy to answer them.