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Is microsurgery possible for lobulated cystic sol in ovary?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My present condition is:

Weight 165 lbs.

Hemoglobin 6.9 gm%.

Right ovary: 5 X 4.8 X 4.2 inches vol 887 cc large lobulated cystic sol noted in the right adnexal region.

Left ovary 1.7 X 2.4 X 2.4 inches vol-159 cc echogenic fluid-filled cystic sol noted in the left adnexal region.

Currently, I am taking Megestone tablet and Ferium XT one per day.

Hello,

Welcome to icliniq.com.

I have seen your all reports which ever you attached with. (attachment removed to protect patient identity).

Now as from previous reports and surgery and recurrent state you should do a complete diagnostic report for further treatment and even before planning the operation. Go through CA (cancer antigen) 125 level, RMI (risk of malignancy index), CT (computed tomography) scan to see for any other changes or spread. You did not mention your complaint or what you are actually expecting in the answer. But yes, from small small pieces you attached, I can say that get an opinion of an oncosurgeon for it.

Patient's Query

Thank you doctor,

What shall I do at this time? Is microsurgery possible for this case? What are the precautions required before the operation? Is there any problem with pregnancy after operation? What will be the approx cost for that operation I do not have any mediclaim policy? I need your suggestion as soon as possible.

Hello,

Welcome back to icliniq.com.

Consult a nearby oncosurgeon as early as possible and makes your doubt clear, and get done all the tests suggested by him. On a serious note, you have to diagnose before surgery that is it an operable tumor or metastasis has already occurred. So get the examinations done after consulting a doctor. It is difficult to tell whether it is an ovarian tumor or a relapse of the previous tumor. And more likely you have to go for an open and a major surgery with a super-specialist doctor (oncosurgeon) this time. Less likely to go through microsurgery, but all will be clear after all reports came. Blood, CT (computed tomography) scan and may be PET (positron emission tomography) scan if required. Get the operation done as early as possible. If want a second or third opinion then also take it as early as possible. If possible with in one or two days. For future pregnancy, frankly it depends on the type of surgery and its outcome and the cost also depends on the type of surgery going to be needed.

Investigations to be done

CECT (contrast enhanced computed tomography) abdomen, chest x-ray PA (posteroanterior) view, blood CA 125 level, and probably PET scan.

Differential diagnosis

Ovarian tumor, Relapse of inflammatory myofibroblastic tumor.

Probable diagnosis

Simple ovarian cyst.

Treatment plan

Open cystectomy, but in case of malignancy may have to do Wertheim's operation.

Medically reviewed byiCliniq medical review team

Published At November 30, 2019
Reviewed AtMay 12, 2024

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