5th March 3008
-Consult Dr Eugene, the Obsterician & Gynaecologist-oncologist, ultra sound scan shows multiple cysts, schedule a surgery on 3rd April 2008.
- take blood for CA125 (cancer tumor marker test)
3rd April 2008
- CA125 comes back normal
-Start with a laparoscopic surgery but end up doing open surgery to remove the ovarian cysts because the doctor sees hard cell on the left ovary.
- Doctor takes out several bottles of stuffs, believe to be teratoma as they contain hairs.
- A biopsy of the hard cells on the left ovary
5th April 2008
- Discharged from hospital
12th April 2008
- Take out knot of the stitches
- Receive pathological report : cysts are benign, the biopsy express CEA and CK7 (cancer tumor markers)
- Take blood sample to send for more tumor marker tests (CA153, CA125, AFP, CEA)
-Schedule a CT scan on 16th April 2008.
16th April 2008
- CT scan doesn't show any malignant
- All CA153, CA125, AFP, CEA are normal. CA125 is 29, slightly raise from 19 before the surgery, but doctor says it's still within the normal range.
- Dr Eugene recommends removal of left ovary as diagnostic and preventive measure.
17th April 2008
- Come home to live at parents'.
18th April 2008
- Consult another gynae Dr Vishnu for second opinion.
- Consult Dr Chuah, the gastro specialist, schedule a coloscopy and gatroscopy on 22nd April 2008.
19th April 2008- Consult Dr Joel Nonis, a church brother who is an oncologist.
- He recommends further screening i.e. colonoscopy, mammography, beta-HCG
Both Dr Vishnu and Dr Nonis think it's a bit too drastic to remove the left ovary when there is no evidence of malignancy. They recommend further screening.
21st April 2008
- Preparing the digestive tract for colonoscopy and gastroscopy.
22nd April 2008
- Colonoscopy and gastroscopy, normal, no malignant.
- Schedule a mammograph and ultra sound of the breasts with Dr Nonis
23rd April 2008
-Mammograph and ultra sound of the breasts normal
-Take blood sample for beta-HCG test.
-Dr Eugene suggests sending the slides of the biopsy to another pathologist for second opinion.
24th April 2008
- Beta HCG test normal
25th April 2008
-Collect slides from Dr Eugene.