Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Is The Treatment For Pain In Abdomen With Ovarian Cyst?
hello sir, i am dr twinkle narsingani, a gynecologist working at a trust hospital in ankleshwar(gujrat). i have a patient, 39yrs who had pain in abdomen with raised CA 125 leves. CT showed simple ovarian cyst and adenomyosis. Also a co incident finding of MULTIPLE AREAS OF CONSOLIDATION WITH INTERNAL CAVITY. a chest X-ray ws done which showed an area of consolidation wid internal cavity, also another area of consolidation. on detail asking, patient gave history of a respiratory complain as in pain in rt thorax nd resp difficulty in 2005. the patient was thoroughly investigated at that time. Biopsy showed inflammatory lesion, BAL showed candida tropicalis on culture, smear was negative. AFB was negative. patient was treated with AKT and symptoms relieved. when compared wid the X-RAY in 2005, the recent XRAY showed same lesions with same character probably static lesion............ what could be the DIAGNOSIS? the patient is asymptomatic for resp complains and needs to be operated for adenomyosis.
Fri, 17 Apr 2020
Hello,
Reviewing the history that is noted here, I think the possibility of ovarian mass and possible secondaries in lungs cannot be excluded, esp if the lung lesions persist after a successful course of AKT.
You have mentioned a biopsy here. It is not clear to me as to where it was taken from. Adenomyosis per se is unlikely to cause breathlessness.
I would suggest a thorough work up prior to her operation for adenomyosis. This should include - Full blood count, full ovarian tumour marker profile, Liver and kidney function tests, repeat imaging - x-ray and ultrasound are minimum, if affordable MRI could be done to get better soft tissue delineation. This will be done in any case if tumour markers show elevated levels.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Sabina Hussain
Reviewing the history that is noted here, I think the possibility of ovarian mass and possible secondaries in lungs cannot be excluded, esp if the lung lesions persist after a successful course of AKT.
You have mentioned a biopsy here. It is not clear to me as to where it was taken from. Adenomyosis per se is unlikely to cause breathlessness.
I would suggest a thorough work up prior to her operation for adenomyosis. This should include - Full blood count, full ovarian tumour marker profile, Liver and kidney function tests, repeat imaging - x-ray and ultrasound are minimum, if affordable MRI could be done to get better soft tissue delineation. This will be done in any case if tumour markers show elevated levels.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr. Sabina Hussain
I find this answer helpful
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Biopsy
Loading Online Doctors....