I am a survivor of breast cancer and my mother died of ovarian cancer. I have been experiencing a lot of bloating, constipation and weight gain. What should I do?
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8 doctors weighed in:
I am a survivor of breast cancer and my mother died of ovarian cancer. I have been experiencing a lot of bloating, constipation and weight gain. What should I do?
8 doctors weighed in
Dr. Benjamin Kim
Surgery
In brief: Abdominal exam first
The obvious concern is to first rule out an ovarian cancer- with a good gyn and abdominal exam, ct, and ca-125 tumor marker.
With personal history of breast cancer before 38 and mother with ovarian, brca testing should be done. Treatments options will follow from there and may include removal of ovaries and uterus, prophylactic mastectomy and/or close surveillance..
In brief: Abdominal exam first
The obvious concern is to first rule out an ovarian cancer- with a good gyn and abdominal exam, ct, and ca-125 tumor marker.
With personal history of breast cancer before 38 and mother with ovarian, brca testing should be done. Treatments options will follow from there and may include removal of ovaries and uterus, prophylactic mastectomy and/or close surveillance..
Dr. Benjamin Kim
Thank
Dr. Barry Rosen
Surgery
In brief: BRCA Testing
Based on your personal & family history, you certainly qualify for brca testing, a simple blood test to determine if you have a mutation associated w/breast & ovarian ca.
If so, consideration should be given for having "prophylactic" ovary removal (oophorectomy) & mastectomy to prevent ovarian or (another) breast ca. Please discuss w/your oncologist or a genetic counselor.
In brief: BRCA Testing
Based on your personal & family history, you certainly qualify for brca testing, a simple blood test to determine if you have a mutation associated w/breast & ovarian ca.
If so, consideration should be given for having "prophylactic" ovary removal (oophorectomy) & mastectomy to prevent ovarian or (another) breast ca. Please discuss w/your oncologist or a genetic counselor.
Dr. Barry Rosen
Thank
Dr. John Geisler
Gynecology - Oncology
In brief: Symptoms
With your history, family history, and persistent symptoms, you need to be worked up for ovarian or metastatic breast cancer.
See a good gyn and start with a pelvic exam (including rectovaginal), ca 125 and pelvic ultrasound. If all of this is normal, then a ct of abdomen/pelvis should be done. If these symptoms are solved, the you should be counseled regarding prophylactic surgery.
In brief: Symptoms
With your history, family history, and persistent symptoms, you need to be worked up for ovarian or metastatic breast cancer.
See a good gyn and start with a pelvic exam (including rectovaginal), ca 125 and pelvic ultrasound. If all of this is normal, then a ct of abdomen/pelvis should be done. If these symptoms are solved, the you should be counseled regarding prophylactic surgery.
Dr. John Geisler
Thank
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