Question: 63, year old, G3P2 (irregular periods when young-normal before menapause). Had mimimal pinkish discharge at intervals; spots 1cm bleeding x 2. Normal Ultrasound with 2mm stripe but no endometrial tissue obtained with biopsy. Proceeded to LAVSH. That path report is as follows and has been sent from level 2 hospital to level 3 (UOI) for review:
Cervix: mild chronic inflammation
Endometrium: atypical proliferation
Myometrium: Leiomyomas with atypical parivascular cells, and extensive aenomyosis
Serosa: No diagnostic abnormality
Left ovary: focal serous papillary proliferation with clcifications including psammoma bodies, no definite stromal invasion identified
Right ovary: No tumor identified
Bilateral fallopian tubes: no tumor identified

two very well respected OBs (generalists) did surgery. They reported everything looked normal except she could identify a small fibroid. Procedure went smooth with complication. No dissection of nodes of washing r/t non-suspecious findings. She did comment that there was some scar tissue on the right side that looked like at one time I had some inflammation. I had a virgin abdomen. The only thing I can think of is years ago I had a bad fever and severe pain following having my tubes cleared and XXXXXXX seed oil infused r/t infertiity.

So does this sound like ovarian cancer or what..? Do I need follow-up with GynOnc? Should I also get another final diagnosis from Mayo when the first is received from University of Iowa?

If a borderline ovarian cancer would I need a second surgery for additional samplying as nothing was collected in the first surgery because nothing looked suspicious.
Would the ovarian marker test to elevated r/t the previous surgery or it best just to get it as a baseline.

Thank you for your assistance in this matter.

And by followup you indeed mean a gyn-onc not a regular ob-gyn

So in your opinion if this is read as a borderline ovarian cancer I should have other samples taken and what would those include. My ovarian marker I assume you mean CA125. Would that be elevated simply r/t the first surgery? What number would that need to be to be reassuring? Would you recommend the University of Iowa or Mayo Clinic in Minnesota?

Thank you so much; you seem very kind.