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Have thyroid, chocolate cysts in ovary. Suggested CEA and CA125 tests. Why is this necessary?

hello, I my age is 30 yrs and i have thyroid .now i have choclate cysts in my left and right ovary .the size of cyst:two are 2.95 cms, which are in my left ovary, and anoter is of 1 cm, which is in my right ovary.i have done my amh test report not comes yet.but now my doc is telling to do the test of cea and ca125.why this test is necessary for there any serious problem with me?
Asked On : Sun, 17 Mar 2013
Answers:  2 Views:  36
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General & Family Physician 's  Response
Thanks for query
CEA and Ca 125 are tumor markers
Tumor markers can be used for one of four purposes:
(1) screening a healthy population or a high risk population for the presence of cancer;
(2) making a diagnosis of cancer or of a specific type of cancer;
(3) determining the prognosis in a patient;
(4) monitoring the course in a patient in remission or while receiving surgery, radiation, or chemotherapy.

I think in your case doctor wants to rule out Ovarian Cancer as these markers are increased in ovarian cancer.
But don't worry as per your age you are at low risk of having it, as mean age is around 56 yrs.

I hope this will help
Best Wishes
Answered: Sun, 17 Mar 2013
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General & Family Physician Dr. Nirmala P's  Response
Hi, chocolate cysts occur in all age groups but most common in child bearing age group like yourself. In some women it coexists with hypothyroidism (low levels of thyroid hormone).
If the cysts persist beyond 2 to 3 menstural cycles, then it needs to be investigated to rule out other serious possibilities like ovarian cancer especially if any other member in the same family had suffered from ovarian cancer.
CA 125 & CEA are tumor markers. Both CEA (carcino embryonic antigen) & CA 125 (cancer antigen) are increased in many types of cancers like ovarian cancer. But it may be false positive as they are also increased in many other non cancer conditions like inflamation.
Very high values of CEA may be suggestive of cancer. CA 125 test is not an accurate test to detect cancer in premenopausal women like you, but it can differentiate chocolate cysts (endometriosis cysts) from other cysts
Answered: Sun, 17 Mar 2013
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