Thursday, August 30, 2012

Complex Ovarian cyst in Postmenopausal women

Within a span of 15 days I got to operate on two women ,both of whom were menopausal and had complex Ovarian cyst.Both had otherwise a normal ca 125 levels and normal CT scan apart from the cysts.
I have the standard option of frozen section to both these Ladies.Frozen section is the pathology report which pathologist provides as an intereim report based on which it is decided whether it is a cancerous or non cancerous growth.If Cancerous, one needs staging operation.
Both these ladies declined to get the frozen section done.The first family was so scared that they didn't wish to even know that it was cancerous.They were lucky and that lady had just a fibroma of ovary.
second one who choose not to go for frozen section in want of funds,wasn't so lucky.In her case it turned out to be clear cell carcinoma.Now starts her PET scan ,MAYBE COMPLETION SURGERYetc and chemotherapy.I hope she has the money to get herself treated.
TAKE HOME MESSAGE GET FROZEN SECTION DONE IF INDICATED.DON'T DISMISS IT AS JUST ANOTHER TEST FROM THE DOCTOR.

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