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What about combining TVUS with liquid biopsy (ctDNA/cfDNA/MDM markers), family/personal cancer history, genetic testing results to create a comprehensive risk score system? Why do we have that for breast cancer but not ovarian cancer? Also, if you are taking out an indeterminate complex cyst and the patient is done with reproduction, why not make it into stabdard guideline to take out the fallopian tubes too? That would help these women get their peace of mind since most ovarian cancer originated there. Furthermore, why are the IOTA simple rules not adopted in US clinical practice? Why do we have standardized BI-RADS grades but no standardized O-RADS grades across the US? Finally, for certain types of ovarian cancer (e.g. LGSOC) that are slow growing and not sensitive to platinum chemotherapy, shouldn't the radiology guidelines be changed to time the patient's surgery better and allow maximum platinum free treatment intervals? These types of ovarian cancer patients have routinely survived for 10+ years in China because it's treated as a chronic disease. But the US healthcare system seems to be still adopting a barbaric approach. Do you get paid more when you code a malignancy on a patient's chart? This is a great video BTW. The information is invaluable. I hope more women get to view it to allow them to make educated decisions when their TVUS is abnormal. But I also believe that as an ordinary patient, my questions above are perfectly valid. Why have they not been addressed yet? Why do the medical payors demand survival analysis to pay for change of standard of care? It seems to be a major road blocker for the Moonshot (the 21st Century Cures Act)? What's the point of advancing cancer early detection and therapy if general population cannot afford and benefit from it?
BTW, I am MGB patient with a complex serous cyst with irregular wall and papillary projections currently being followed on short-term interval. The scans are done outside MGB but I can get them uploaded to your film library. How can I get your second opinion on my chart?
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Yes, as said in the video, if it's definitive, the radiologist will make recommendation for immediate referral to surgical oncology and might even put in "suspicious for malignancy" in the report. The problem is most of the time, they don't know. And when they know for sure, it's too late!
I have a very large cyst on the right ovary with blood flow 9.2cm by 7 cm they said it’s a fallopian tube (which I don’t have because it was removed 7 yrs ago. I had a hysto at 29. Left ovary is enlarged with solid and fluid components.
KAISER does the bare minimum during Pap smear and do not do cancer screening and when I had a pap last year, I brought up bloating, constipation it was thought to be because I was getting older. 1 yr later, ovarian cancer detected .
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
I have scans that look similar like this.. would it be possible to share the images with you to get your opinion on it? Sorry for asking but not really getting a clear answer from my doctor.
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I do not know what would've become of me if not the help of DR RORPOPOR HERBAL medications . I almost killed myself despite all the medications I got from different doctors no one could work , but I thank GOD almighty who directed me to DR RORPOPOR on youtube channel and today am proud to be ovarian cyst negative without any side effects . You can reach him on you tube channel
I have an enlarged ovary with solid and possibly cystic components. Then on right ovary I have a large mass 9.2cm by 7cm they’re told me its a fallopian tube but that tube has been removed 9 yrs ago . I’ve just again has a contrast dye cat scan which has made imaging more clear. I’m 10 yrs post op for hysto
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
Excelent information , I was searching information for a case I have seen yesterday , I am a gynecologist , a 25 years old lady , came to me for a check up , she is newly married , after I examined her by vag ultrasound , I saw a small cyst between 2.5 and 2.8 cm diameter , on her right ovary , and a small lesion hyperechoic on the internal side of the wall , I put onColor flow Doppler the lesion was vascular , I sent for ca125 test , the result came 35.9 , honestly I was not worried until the result came for ca125 test , what is your advice to do next , can I send you the cine loop of this case ?
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
Well, feeling how it began to shrink and eventually disappear within 2 months was so liberating. I followed the steps I mentioned, and within the first 2 weeks the bloating was gone. I simply go'ogled Tilly Strankten's Ovarian Cyst Guide and it's like I hit the feel-good reset button lol.
You're welcome, Please subscribe my channel and membership... to continue channel and new videos..... New videos only for members If u need any radiology opinion mail me on radiologyvideo1@gmail.com
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To me, this is the best video explanation on the matter👏🏼thanks for sharing 🙏🏽
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Thank you for this very detailed video
Thank you so much.
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What about combining TVUS with liquid biopsy (ctDNA/cfDNA/MDM markers), family/personal cancer history, genetic testing results to create a comprehensive risk score system? Why do we have that for breast cancer but not ovarian cancer?
Also, if you are taking out an indeterminate complex cyst and the patient is done with reproduction, why not make it into stabdard guideline to take out the fallopian tubes too? That would help these women get their peace of mind since most ovarian cancer originated there.
Furthermore, why are the IOTA simple rules not adopted in US clinical practice? Why do we have standardized BI-RADS grades but no standardized O-RADS grades across the US?
Finally, for certain types of ovarian cancer (e.g. LGSOC) that are slow growing and not sensitive to platinum chemotherapy, shouldn't the radiology guidelines be changed to time the patient's surgery better and allow maximum platinum free treatment intervals? These types of ovarian cancer patients have routinely survived for 10+ years in China because it's treated as a chronic disease. But the US healthcare system seems to be still adopting a barbaric approach. Do you get paid more when you code a malignancy on a patient's chart?
This is a great video BTW. The information is invaluable. I hope more women get to view it to allow them to make educated decisions when their TVUS is abnormal. But I also believe that as an ordinary patient, my questions above are perfectly valid. Why have they not been addressed yet? Why do the medical payors demand survival analysis to pay for change of standard of care? It seems to be a major road blocker for the Moonshot (the 21st Century Cures Act)? What's the point of advancing cancer early detection and therapy if general population cannot afford and benefit from it?
BTW, I am MGB patient with a complex serous cyst with irregular wall and papillary projections currently being followed on short-term interval. The scans are done outside MGB but I can get them uploaded to your film library. How can I get your second opinion on my chart?
You're welcome,
Please subscribe my channel and membership... to continue channel and new videos.....
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Will the size of cysts be significantly larger if estradiol level is 654? No HRT or birth control.
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Is there certain terms to look for on the drs report that indicate cancerv
Yes, as said in the video, if it's definitive, the radiologist will make recommendation for immediate referral to surgical oncology and might even put in "suspicious for malignancy" in the report. The problem is most of the time, they don't know. And when they know for sure, it's too late!
I have a very large cyst on the right ovary with blood flow 9.2cm by 7 cm they said it’s a fallopian tube (which I don’t have because it was removed 7 yrs ago. I had a hysto at 29. Left ovary is enlarged with solid and fluid components.
KAISER does the bare minimum during Pap smear and do not do cancer screening and when I had a pap last year, I brought up bloating, constipation it was thought to be because I was getting older. 1 yr later, ovarian cancer detected .
Hi, what would you lean towards with a "slightly hyper echoic mass"?
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I have scans that look similar like this.. would it be possible to share the images with you to get your opinion on it? Sorry for asking but not really getting a clear answer from my doctor.
By the way, very informative and interesting video. I really learned a lot! I am subscribed to you now
You're welcome,
Please subscribe my channel and membership... to continue channel and new videos
If u need any radiology opinion mail me on radiologyvideo1@gmail.com
I do not know what would've become of me if not the help of DR RORPOPOR HERBAL medications . I almost killed myself despite all the medications I got from different doctors no one could work , but I thank GOD almighty who directed me to DR RORPOPOR on youtube channel and today am proud to be ovarian cyst negative without any side effects . You can reach him on you tube channel
I have an enlarged ovary with solid and possibly cystic components. Then on right ovary I have a large mass 9.2cm by 7cm they’re told me its a fallopian tube but that tube has been removed 9 yrs ago . I’ve just again has a contrast dye cat scan which has made imaging more clear. I’m 10 yrs post op for hysto
You need a new doctor
How many years before evolving to advance stage.
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Very nice
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I had scan done today 😮😮
Excelent information , I was searching information for a case I have seen yesterday ,
I am a gynecologist , a 25 years old lady , came to me for a check up , she is newly married , after I examined her by vag ultrasound , I saw a small cyst between 2.5 and 2.8 cm diameter , on her right ovary , and a small lesion hyperechoic on the internal side of the wall , I put onColor flow Doppler the lesion was vascular , I sent for ca125 test , the result came 35.9 , honestly I was not worried until the result came for ca125 test , what is your advice to do next , can I send you the cine loop of this case ?
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I have a 6 cm cyst on 1 ovary & 2 or 3 cm cysts
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Can lump ever be felt?
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I had a hysterectomy everything was removed. Can I still have Ovarian Cancer
5:36
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My mom has ovarian cancer .
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I'm so sorry 😢😢😢😢😢
Well, feeling how it began to shrink and eventually disappear within 2 months was so liberating. I followed the steps I mentioned, and within the first 2 weeks the bloating was gone. I simply go'ogled Tilly Strankten's Ovarian Cyst Guide and it's like I hit the feel-good reset button lol.
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And my Mother had ovarian cancer.
@Amrita Chakraborty but has already been detected . I want to ask about treatment.
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Blurry
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My mom has ovarian cancer .
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