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bilateral oopherectomies without hysterectomy

I had my right ovary removed due to a 9cm tumor which turned out to be a borderline tumor of low malignancy. I opted to have the other ovary out a few months later. My doctor removed my other ovary which also had cells that were changing. I was glad to have them both out. I have since talked with one of my instructors at school who questioned why my doctor did not take my uterus too because that is the usual practice with a bilateral oopherectomy.
Is this an oddity? Should I be requesting to have it removed as well? What can happen if I don't? Also, at my instructors suggestion, I requested copies of my op and path reports. One of the op reports indicated that there were uterine leiomyomata and adhesions. Wouldn't that be an indication to have removed it? My doctor never mentioned any of this to me! Help!
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replied October 21st, 2008
Hysterectomy is usually advised for cases of stage 1 or 2 endometrial cancer.

You may want to request one of the following diagnostics to confirm or exclude endometrial cancer as a possibility:

* Endometrial aspiration or biopsy
* Dilation and curettage (D and C)
* Pap smear (may raise a suspicion for endometrial cancer, but does not diagnose it)
* Pelvic examination

The general stages of endometrial cancer are:

1. The cancer is only in the uterus.
2. The cancer is in the uterus and cervix.
3. The cancer has spread outside of the uterus but not beyond the true pelvis area. Cancer may involve the lymph nodes in the pelvis or near the aorta (the major artery in the abdomen).
4. The cancer has spread to the inner surface of the bowel, bladder, abdomen, or other organs.

I'd suggest that you follow up with your doctor or seek advice from another gynecologist or oncologist.
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replied October 21st, 2008
Active User, very eHealthy
Yes I would follow up as well. Was it a cyst on your ovary? What kind? Were you having any symptoms? Bloating, fatigue, weight loss or gain, etc.. Good luck, and let us know how you do.
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