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For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more
YES for ER positive: Oopherectomy has been proven to reduce recurrence in estrogen-receptor positive pre-menopausal women. Prior to tamoxifen, it was a commonly used treatment for metastatic disease and is now known to reduce recurrence in high-risk premenopausal hormone-receptor positive breast cancer, even without the use of other endocrine therapies. ...Read moreSee 3 more doctor answers
No: Removal of the appendix does not cause cystic disease if the ovaries, which is very common, and may even come and go over time. ...Read more
No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read moreSee 3 more doctor answers
6 cm ovarian cyst. Hemorrhagic in appearance. History of severe endometriosis & endometriomas. Causing severe pain. Treatment recommendation?
Options: You have a number of options. You can repeat the u/s in 3 months or so and see if it has gone away on its own. Hemorrhagic ovarian cysts frequently resolve spontaneously. If It is very painful, you could have a laparoscopy and removal of the cyst. With your history of severe endometriosis and endometriomas, its also possible that you would need an open procedure to remove the ovary. ...Read more
Intense rlq pelvic pain months after a total hysterectomy? Ct of appendix ok, have a history of ovarian cysts, endometriosis, & adhesions
Need more details: I highly recommend you consult your oncology team and get evaluated by a gynecology oncologist. Since you are <50, it makes me concerned about a brca mutations (if you have not been tested, then get tested!). Ovarian cancer and breast cancer can be related, especially if brca is positive. If you have a estrogen positive tumor, then stopping the ovaries from making hormone may be beneficial. ...Read more
Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?
Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more
PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?
Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more
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