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Elevated CA125 and Ovarian Mass

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I am a breast cancer survivor diagnosed in 2015 with grade 3 DCIS and Paget's.   Did mastectomies and moved on.  I am negative for genetic mutations of significance.

Ended up in the emergency room from extraordinary pelvic pain and cramping on Jan5th.   They did a CT and saw evidence of what they thought was a ruptured ovarian cyst...but the CT did not get good view of the ovary.   I am age 49 and have regular periods ranging from 24-42 days...but had not bled in about 3 months.  I figured it was perimenopause.   I have been in a lot of pain...and went to followup with my gynocologist.

Her ultrasound showed a 5cm cyst with some solid components. It is also stuck to my rectum.  She ran CA125 came in at 65 and I was gushing blood at the time. I have been refered to a Gyn/Onc.  That doctor did another CA125 which is now 115. (taken 2 days after the end of my period)  For some background....I do indeed have endometriosis.   Gyn/Onc also did a eterine biopsy which kept pulling out blood clots...she had to repeat the test 3 times.   (ouch).  I am assuming that my utuerine biopsy was not normal.   I would get from the clots it is adenomyosis or Fibroids.   I really haven't had any recent issues with bleeding.   I did have some post-coital bleeding for awhile...maybe a year ago.   My pap was normal...but they are making me wait to talk to doctor about the other tests.   I am beside myself with worry.  I have an MRI scheduled on Friday.   Another appt with Gyn/Onc on Monday.   Surgery on Wednesday.   ugh.

 

I know that endometriosis can raise CA125.   How suspicious is a 115 CA125?  

 

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