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Doctor insights on: Paracentesis Oncologist Ovarian

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Dr. Sophie Bakri
130 doctors shared insights

Paracentesis (Definition)

Paracentesis is a procedure where accumulated fluid in the abdominal cavity is removed. Most often the fluid is an abnormal build-up of ascites, which can occur in liver, heart and occasionally kidney failure, may be present as part of malignancy or other rarer conditions. It entails identifying a pocket of fluid, sometimes under x-ray guidance, and then having a ...Read more


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I have a dermoid ovarian cyst. Why am I being referred to an oncologist?

I have a dermoid ovarian cyst. Why am I being referred to an oncologist?

You doctor is right: Dermoid cyst can be cancerous. Especially for a woman your age. They are mature or immature. If your dermoid is immature you have a chance that it is cancerous. A gyn oncologist will be the specialist that you need for further evaluation and care. ...Read more

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Cancer? 12cm complex ovarian cyst/tumor with blood flow throughout septations. And elevated 5.7 ova 1 test. Can't see oncologist for 3 weeks. Worried

Cancer? 12cm complex ovarian cyst/tumor with blood flow throughout septations. And elevated 5.7 ova 1 test. Can't see oncologist for 3 weeks. Worried

No emergency: The OVA1® test is not an indicator of ovarian cancer and is not much better than Ca125. It measures levels of five proteins found in the blood and then uses software to calculate a single score measured by using a 0-10 scale.. Women who are pre-menopausal have a cut off of 5.0 whereas postmenopausal women have a 4.4 cutoff. A high OVA1® score is not a diagnosis of cancer, rather it indicates risk and should not force an emergency situation for treating a complex hemorrhagic cyst ...Read more

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I'm 27 and had a complex ovarian cyst for at least 10 wks. Can a gynecologist remove it or should it be an oncologist? We don't have a local gyn/onc.

I'm 27 and had a complex ovarian cyst for at least 10 wks. Can a gynecologist remove it or should it be an oncologist? We don't have a local gyn/onc.

Yes: Gynecologists are trained to handle this. Most complex cysts are benign hemorragic cysts. There is a small chance of malignancy so get this taken care of so you wont be worried. ...Read more

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Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist in hawthorne and he said he could not do anything w

Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist  in hawthorne and he said he could not do anything w

I : I agree with dr doherty's response and encourage you to seek another opinion. Many gynecologic oncologists are quite comfortable operating on obese women. That being said, it may be possible that Megace (megestrol) treatment is the best option for you at this point. ...Read more

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If my roma test is negative why do I still have to see a gynocologist/oncologist for removal of a 7.1 complex ovarian cyst may be serous or municous. I am postmenopausal so the test is 100% right.?

If my roma test is negative why do I still have to see a gynocologist/oncologist for removal of a 7.1 complex ovarian cyst may be serous or municous.  I am postmenopausal so the test is 100% right.?

Ovarian cyst: Correct me if I am wrong. I think you are referring to ova-1 test. The test is designed to evaluate the possibility of benign vs malignant cyst. It is not 100% right. The purpose of the test is trying to designate who should be your surgeon, your gynecologist who usaully treat benign disease or your oncologist. ...Read more

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My mom is 47 years old and was recently diagnosed with stage 3 ovarian ca it had spread to her colon and diaphragm we were told that all visible tumors have been removed and it has not spread to the lymph nodes however her oncologist said it will come vac

My mom is 47 years old and was recently diagnosed with stage 3 ovarian ca it had spread to her colon and diaphragm we were told that all visible tumors have been removed and it has not spread to the lymph nodes however her oncologist said it will come vac

Question?: I assume you are asking if the oncologists remarks are correct. They are, unfortunately. However, no one can precisely say when the disease will come back - and if it does, how well some of the newer drugs will keep it at bay. If possiible, get your mother in a clinical trial that might offer the chance at newer therapy being developed. ...Read more

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How can I find someone in the boston area to aspirate a simple 6 CM fluid filled ovarian cyst? I met with a gynecologist-oncologist who thinks that the chance of cancer is very slim. I am a 44-year-old woman who is completely unwilling to risk losing th

How can I find someone in the boston area to aspirate a simple 6 CM fluid filled ovarian cyst?  I met with a gynecologist-oncologist who thinks that the chance of cancer is very slim.  I am a 44-year-old woman who is completely unwilling to risk losing th

Ask your Doc: Your doc should be able to refer you to the appropriate gyn or simply ask the gyn-onc you saw. It's also possible that your cyst is functional (normal) & will resolve on it's own (no surgery). If it persists or develops concerning features, a laparoscopic cystectomy (remove the cyst only) will preserve your ovary. They may suppress your ovulation with ocps if you are a good candidate, take care. ...Read more

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I have a 9cm ovarian cyst attached to my bowel. Was referred to gynecologic oncologist for bowel resection. Scared ill wake up with a colostomy bag?

I have a 9cm ovarian cyst attached to my bowel. Was referred to gynecologic oncologist for bowel resection. Scared ill wake up with a colostomy bag?

Small chance only : I do not know what exactly you have. However, if there is no inflammation in the area, which i believe it is the case and if the size of the colon above the lesion is not too distended and if resection is needed you should not end up with a colostomy. However, you never know what will the surgeon see/find when he/she enters your abdomen. So, if all is relatively "clean" inside, your should be fine. ...Read more

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Will a paracentesis hurt?

Will a paracentesis hurt?

Depends on who: Is performing it. I've a patient who has a favorite radiologist perform his, because "he's always painless." it should not hurt much, but the degree depends on whose doing it and your state of mind anticipating it. ...Read more

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What is the definition or description of: paracentesis?

What is the definition or description of: paracentesis?

Definition provided: Paracentesis is a procedure where accumulated fluid in the abdominal cavity is removed. Most often the fluid is an abnormal build-up of ascites, which can occur in liver, heart and occasionally kidney failure, may be present as part of malignancy or other rarer conditions. It entails identifying a pocket of fluid, sometimes under x-ray guidance, and then having a needle or catheter inserted. ...Read more

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What position should a patient be in for a paracentesis prcoedure?

Paracentesis: On the back, slightly on the side of the paracentesis or halfway towards that side to allow for accumulation of ascites fluid to that side. ...Read more

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Why do I have swelling after abdominal paracentesis?

Why do I have swelling after abdominal paracentesis?

Probably: re-accumulation of ascites fluid. This is a serious condition, so you should be under the care of a physician. ...Read more

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What is the definition or description of: ultrasound-guided paracentesis?

What is the definition or description of: ultrasound-guided paracentesis?

Drainage of fluid: An ultrasound is used to locate the fluid within the abdomen. Then, under guidance from the ultrasound, a needle is placed into the abdomen in order to remove the fluid. ...Read more

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What is the purpose of a paracentesis?

What is the purpose of a paracentesis?

Remove excess fluid: It is a bedside procedure in which excess fluid is removed from the abdominal cavity (ascites). The purpose is to relieve pressure on the abdominal contents & upward pressure on the lungs/diaphragm as well as correct internal fluid balance. Ascites can be caused by many things but the most common is liver disease. Samples of the fluid is sent to the lab for analysis and to rule out infection. ...Read more

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What risks and complications are associated with a paracentesis?

What risks and complications are associated with a paracentesis?

Paracentesis Risks: In experienced hands paracentesis is a safe procedure. The most common risks are infection and excessive bleeding. There is also the possibility of the fluid reaccumulating and requiring additional treatments. ...Read more

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Which nursing interventions are most appropriate for the patient diagnosed with fluid volume deficit after paracentesis..?

Which nursing interventions are most appropriate for the patient diagnosed with fluid volume deficit after paracentesis..?

Multiple things: Paracentesis is done to remove fluid from the abdomen for a number of reasons, diagnostically or therapeutically. Diagnostic paracentesis usually removes only a small amount of fluid and is generally not associated with fluid deficit. Large volume paracentesis can be associated with hypotension (particularly orthostatic), tachycardia, diminished urine output. Keep IV patent, give Albumin as rx. ...Read more

Dr. Devon Webster
301 doctors shared insights

Medical Oncology (Definition)

An area of medicine that deals with the study ...Read more