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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Pelvic Pain. Scan Shows Cyst In Ovary. Family History Of Ovarian Cancer. What Should I Do?

Hi there I have been suffering with pelvic pain for 4 months, I had to pay for a private operation as doctors believed it was endometriosis which I have had before, laporoscopy performed but nothing found. Still in pain in groin , had to push for a ct scan, scan was done mid cycle. It showed a 5cm cyst on left ovary the side where I get the most pain, bulky uterus, fibroids , gallstones, something on the liver that they believe is insignificant and a small 2cm cyst on right side. Ovarian cancer in the family, what should be the next step as my gp is slightly confused!?!!
Mon, 30 Sep 2013
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Oncologist, Surgical,  's  Response
I would have liked to know your age and the age at which your relatives developed ovarian cancer. Anyways, what you should do is get a blood test done called CA-125. If it is elevated then the chances of you having ovarian cancer are high (the higher the level, the more the risk). In that case you will have to undergo surgery for ovarian cancer by a cancer surgeon. If it is normal, then the chances of you having ovarian cancer are much less (though not zero)., in which case you should repeat the CT scan after 2-3 months. If the cysts persist or increase in size, then also you should undergo surgery. If they decrease or disappear, forget them. Meanwhile, take adequate pain killers for the pain.
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Suffering From Pelvic Pain. Scan Shows Cyst In Ovary. Family History Of Ovarian Cancer. What Should I Do?

I would have liked to know your age and the age at which your relatives developed ovarian cancer. Anyways, what you should do is get a blood test done called CA-125. If it is elevated then the chances of you having ovarian cancer are high (the higher the level, the more the risk). In that case you will have to undergo surgery for ovarian cancer by a cancer surgeon. If it is normal, then the chances of you having ovarian cancer are much less (though not zero)., in which case you should repeat the CT scan after 2-3 months. If the cysts persist or increase in size, then also you should undergo surgery. If they decrease or disappear, forget them. Meanwhile, take adequate pain killers for the pain.