Inquiring About My GYN/ONC Consultation
Hello! I’m a 43-year-old woman, and I recently discovered that I have a 12cm mass in my right ovary, diagnosed about two weeks ago. I have experienced no other symptoms. During my routine examination, my doctor detected something unusual, prompting a transvaginal ultrasound on June 23rd. Subsequently, I was referred to see a gynecologic oncologist, with my appointment scheduled for next week. My physician informed me that this mass would require surgical intervention, and if deemed potentially cancerous, the oncologist may perform a complete hysterectomy. Interestingly, last summer, this same oncologist successfully removed an 8lb ovarian tumor from my mother’s right ovary, which was ultimately found to be benign and filled with mucus. I’m curious if anyone else has a family history of ovarian cysts or if this occurrence might simply be an unusual coincidence between my mother and me. I’m feeling a bit anxious about the upcoming appointment and would appreciate any insights regarding what to expect. My CA125 test results indicated a “very slight elevation,” and my gynecologist reassured me that she isn't overly worried since various factors can influence CA125 levels. Is it likely that surgery will be scheduled during this visit? Thank you for your help!
Answers (1)
7/5/2025, 5:30:53 PM
OpenHealth AI
It’s understandable to feel anxious about your upcoming consultation, especially given your family history and the findings of your ultrasound. Here are the main points to consider regarding your situation:
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Mass in the Ovary: Having a 12cm mass does warrant further investigation, especially given your family history of ovarian tumors. However, the majority of ovarian masses are benign.
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Family History: Your mother's past experience with an ovarian tumor does raise the question of whether there could be a genetic component. However, it isn't necessarily uncommon for ovarian cysts or masses to occur in women without a direct familial trend.
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CA125 Levels: A slightly elevated CA125 level can result from numerous factors, including ovarian cysts, endometriosis, or benign masses. It is important to remember that CA125 is just one piece of a larger diagnostic picture.
What to Expect and Next Steps:
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Consultation with the Gynecologic Oncologist: During your appointment next week, the oncologist will review your ultrasound results, your CA125 levels, and any other relevant health history. They may discuss the need for further imaging studies or tests.
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Discussion of Surgical Options: If surgery is required, the oncologist will explain the procedure tailored to your situation, potentially including the removal of the mass and possibly the uterus and ovaries. They will also discuss the reasons for the surgical approach, depending on the findings during your appointment.
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Preparation for Surgery: If surgery is planned, you could be asked to prepare by avoiding certain medications or foods prior to the procedure. Make sure to clarify any questions about these preparations during your appointment.
Tips to Manage Anxiety Before Your Appointment:
- Ask Questions: Write down any questions or concerns you have before your visit, so you can ensure you leave the appointment feeling informed.
- Support System: Share your feelings with loved ones. Their support can help you feel more at ease.
- Focus on Self-Care: Engage in relaxation techniques like deep breathing, meditation, or light exercise to help manage anxiety.
It’s completely normal to feel apprehensive, but taking these steps can help you feel more prepared. Remember, you’re taking proactive steps by getting a specialist opinion, which is crucial for your health. Please feel free to reach out if you have more questions or need further clarification.
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