DrVirgo
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What is the risk of getting endometriosis or ovarian cancer in a remaining ovary if someone had a hysterectomy and unilateral oopherectomy? How would the other ovary be removed if they needed to take it out, and how can they detect it? Would an ultrasound help?
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| mjl1717
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1)id say the risk is at least 50-60 % of getting one of these two dyscrasias (one is disseminated dot like uterine tissue) in any region) the other ovarian ca is insidious.
2)direct removal of the other ovary and possibly offer pt hormone replacement therapy.
3) endometriosis calls for direct visualization. ovarian ca calls for direct visualiztion. and markers like CEA and CA125 would be monitored. ultrasound may have a low yield. hope this helps.
Edited by mjl1717 on 05/30/06 - 05:57 PM
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| DrVirgo
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Thanks.
How is there still a risk of endometriosis AFTER the entire uterus has been removed?
Are you sure its 50-60% risk of endometriosis post hysterectomy? and is that only to the ovary or elsewhere as well?
Thanks again.
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| mjl1717
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remember this is dot like uterine tissue which disseminates to any tissue, anywhere eg. lungs , throat etc. the physican may attempt to laser it but probably will miss some of this miniscule endometrial tissue. endometriosis is a sure challenge for a clinician. 50 to 60% was an educated guess. As mentioned it doesnt just spread to ovary it can spread anywhere.
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| DrVirgo
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Thanks. Lungs and throat? How does it get there? 
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