Large pelvic mass diagnosis - ovarian cancer

FormerMember
FormerMember
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Recently went to my GP thinking I had hernia as had felt a lump in my stomach and was referred to hernia consultant for appt just before lockdown.  Had to go back to GP for something else but also mentioned to him that I hadn't heard back from the hospital but wondered if the hernia could be causing problems  as had started experiencing uncomfortable bloating and occassionally finding that when waking up in the morning found that I had passed urine without any warning.  He decided fortunately for me to do some further blood tests and to organise an ultra sound.  My CA125 test came back raised at 113.  I was immediately referred for an urgent appointment to ultrasound and gynae/oncologist.  I was a bit shocked.  Everything has been moving so quick as found I had an approx 30cms mass in my pelvic area and  CTscan showed comng from the ovary.  I had a hysterectomy in 2007, 13 years ago but had opted to leave my ovaries in. I am in the middle of my appointments now, had been told possible options would be to chemo first, surgery and chemo after as mass so large.  However, when discussing CT results over the phone, was told that the team had decided on surgery first when they would also do a biopsy to see if cancer, also found a couple of suspicious lumps on my peritoneum.  I haven't had much time to get my head around all this and of course have been googling, looking at all the forums etc.  I feel well in myself, all my other bloods came back good and ca125 reading, because under 200 was told a grey area.  I feel like I'm about 8 months pregnant and even find myself waddling like a pregnant duck, even though there is no possibility I'm pregnant !!!

Looking on this forum, have seen many people have had chemo first before surgery and some of the surgery mentioned seems to have taken a long time, 5-8hrs.  Has anybody else had such a large mass or does anyone know why surgery first is sometimes the option.  My head is going round and round and all I know is I want this thing out but the thought of 5-8 hours surgery petrifies me.  Would appreciate anyone getting back to me.

  • FormerMember
    FormerMember

    Hi salgo, I'm sorry to hear of your recent news. 

    Where cancer is suspected, a biopsy would usually have been done before deciding treatment so that the cancer diagnosis has been confirmed. Chemotherapy is often given first as this usually shrinks the tumour size and makes surgery more easy. Sometimes surgeons will feel that an operation is not possible at the start and therefore 3 cycles of chemotherapy will improve things. 

    Following surgery, patients then have a further 3 cycles of chemotherapy. 

    In light of Covid-19, some patients have been having the 6 cycles of chemotherapy before having surgery, to avoid taking patients into hospital during the peak of the crisis.

    It sounds as if your surgeon feels that they can easily remove the mass first, and then check what it actually is. I hope this helps. Let me know if I can try to help further.

  • FormerMember
    FormerMember in reply to FormerMember

    Thank you for getting back to me.  Am going to see gynae/oncology tomorrow and have found reading on here found some of the questions I need to ask.  I do hope you're correct about reason for operating first.  They have said that they want to rest my kidney as mass impacting on it before an operation so talked about bypassing kidney with a bag and then removing it during the operation.  I know everyone is different but hadn't seen many posts on here with people talking about the size of mass that mine is, 30cms which is approx 12 " !!  I had a hysterectomy because I had a huge fibroid which weighed 10lbs 3ozs so obviously very accomodating to large alien things !!

    I did wonder if they weren't going to do chemo first because they were worried about the kidney.  I would love to think it was something else but not sure because of the few suspicious lumps on the peritoneum.  Hoping I get a better idea tomorrow.

    Thank you again for your info and hope you're ok