HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Do My Lab Test Reports Indicate?

default
Posted on Thu, 7 Jan 2016
Question: Hello! My name is XXXXXXX and I am 46 years old. Last year I was diagnosed with Primary Biliary Cirrhosis, this year with Thyroid Cancer. I am doing well overall with both. A month ago I had my annual exam at my gynecologist and they did a transvaginal ultrasound to look at a fibroid they have been watching. They didn't see any masses or fluid, but my left ovary was englarged to 6 cm. This has occurred in the last 12 months, when I had my last Ultrasound. I am scheduled for a diagnostic laparoscopy to look at the ovary, possibly remove it, remove the fibroid and also have a D&C due to heavy bleeding and anemia.
I am BRCA1 and 2 negative, but I have a family history (grandmother and cousin) of ovarian cancer, my mother had breast cancer. I have never had any children
I also have abdominal pain (mild) and leg and hip pain on that side (sciatic pain). My periods have been very regular all my life. A few times over my lifetime I have had a period start up again after it was ending, but maybe twice this year, today being one of those times.
I know there are benign processes that can cause the enlarged ovary, but I am obviously concerned about ovarian cancer. I have recently had a colonscopy for the anemia and it was clear. I am only a few months post total thyroidectomy, and I am still hypothyroid as of my last test (severely so).
I am about a week out from this procedure and I am just getting nervous. I know that I am doing the right thing, but I guess I am looking for some encouragement. You may have none to give, but I feel that chances of this being cancer are fairly high, though nobody has told me this yet.
doctor
Answered by Dr. Deepti Verma (12 minutes later)
Brief Answer:
Chances of ovarian malignancy are there

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns. You have really suffered a lot.
Ovarian cyst can be benign or malignant, and this can be decided by Doppler ultrasound, CA 125 levels in blood, and MRI.
Since you have a strong family history of ovarian cancer and breast cancer, chances of malignancy are increased in your case.
So, you took a very right decision of not delaying the treatment and going for surgical removal of the ovarian cyst.
Pathological examination of the cyst during and after surgery will confirm the nature of the cyst and further management should be decided accordingly.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Deepti Verma (9 minutes later)
Thank you for your speedy reply. Yes, I know the chances are there. I guess nobody is going to be able to tell me one way or another what is going on until the procedure. They didn't expressly say there was a cyst, but the order on the surgery says possible cystectomy. I am glad that it appears if this is a malignancy I seem to be getting it fairly early in the process.
My cousin has stage IV ovarian cancer and just had her debulking surgery. She seems to be doing well and is being treated by MD XXXXXXX in XXXXXXX The thought of having another type of cancer in one year is overwhelming. I have been doing fairly well with this, but as the procedure approaches, I am getting a little more uptight. Thanks again.
doctor
Answered by Dr. Deepti Verma (22 minutes later)
Brief Answer:
Hope for the best

Detailed Answer:
Hi dear,
Your optimism will help you sail through this situation.
If it is cancer, then it will be detected at an early stage for which the treatment is available and effective.
Be brave, and hope for the best.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Deepti Verma (3 minutes later)
Thank you. I appreciate it.
doctor
Answered by Dr. Deepti Verma (3 minutes later)
Brief Answer:
Happy to help

Detailed Answer:
Hi dear,
I am happy to have helped you.
You can get back to me anytime for further queries by asking a direct question to me on the health care magic portal.
Regards
Dr Deepti Verma
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5064 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Do My Lab Test Reports Indicate?

Brief Answer: Chances of ovarian malignancy are there Detailed Answer: Hi dear, I have gone through your question and understand your concerns. You have really suffered a lot. Ovarian cyst can be benign or malignant, and this can be decided by Doppler ultrasound, CA 125 levels in blood, and MRI. Since you have a strong family history of ovarian cancer and breast cancer, chances of malignancy are increased in your case. So, you took a very right decision of not delaying the treatment and going for surgical removal of the ovarian cyst. Pathological examination of the cyst during and after surgery will confirm the nature of the cyst and further management should be decided accordingly. Hope you found the answer helpful. Please do get back for further queries. Wishing you good health. Regards Dr Deepti Verma OBGYN