How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Owen Your Own Question

Dr. Owen
Dr. Owen, Doctor
Category: Health
Satisfied Customers: 55753
Experience:  Board Certified Physician and US Medical School Graduate
18703594
Type Your Health Question Here...
Dr. Owen is online now
A new question is answered every 9 seconds

uterine..bleeding..fibroid (13 cm), and the unusual appearance..tissue

Customer Question

Hello,

I recently had a myomectomy to remove a large uterine fibroid. I had been scheduled for a minimally-invasive procedure, but due to excessive bleeding, the unexpected increased size of the fibroid (13 cm), and the unusual appearance of the fibroid tissue (soft in some places), my surgeon made the decision to convert to a traditional myomectomy.    

My lab results showed that the uterine fibroid had a mitotic index of 7, which is apparently considered “borderline malignant.” I am scheduled for a CT scan and a follow-up visit with my doctor in the coming weeks. My doctor is advising me to get a blood test and vaginal ultrasound every four months to monitor any changes. I’m concerned about the future need for a hysterectomy and/or this developing into LMS, which I understand is a very aggressive cancer. I currently live overseas and am hoping for the opinion of an American doctor, as treatment in my country of residence tends to be much more conservative compared to the USA.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Owen replied 5 years ago.
Hello,
I think I answered you last night - and based on your 'address' I take it you are under military care - which is a good thing - I also explained the mititic number to you. However, I would also recommend a gyn-onc consultation with a U.S. trained gyn-onc - and depending where you are in the world - I'll tell you which hospital as far as military hospital will have a gyn-onc available. Take care.
Dr. Owen, Doctor
Category: Health
Satisfied Customers: 55753
Experience: Board Certified Physician and US Medical School Graduate
Dr. Owen and 5 other Health Specialists are ready to help you
Customer: replied 5 years ago.
Dr. Douglas,

Thanks very much for your response. We're with the U.S. government, though not the military, so my doctor is "on the economy." I've enlisted the advice of the (American) physician assigned to the embassy where we work, and am now just waiting for my reports to be translated for him to take a look at them. All fingers crossed!

I see that you're a doctor in the armed forces -- thanks so much for serving our country.

All the best,

ksc
Expert:  Dr. Owen replied 5 years ago.
Not a problem, but you are with the U.S. Government so you might be able to get the advice of a gyn-onc - if you are in Europe - the military has a gyn-onc in Germany, and there is one in Okinawa, in Hawaii and I think mainland Japan and also in Korea. I hope this helps, take care. I have 2 gyn-oncs where I work - the largest military hospital in the world. Take care.
Customer: replied 5 years ago.
Hi Dr. Douglas -- Thanks once again for your note. We're currently serving in Belgium, so the gyn-onc in Germany would be the closest. Would it be possible for you to give me a referral for a consultation with him or her? My husband's with the State Department, and I'm not sure how services overlap within different government agencies.

All the best, ksc
Expert:  Dr. Owen replied 5 years ago.
Hi again,
I wish I could give you a referral - my advice would be to see if you can do this through the embassy, or even try calling the hospital in Lanhstool (I don't know the spelling) - but close - I think it is an Army or Air Force hospital, but they have doctors from all services there - you should have no problem getting a referral since he is with the state department - I worked on state department spouses a few times - although, I have nothing to do with the decisions - I was just told I was seeing them. I wish you the best of luck - I really would suggest giving this a try. Take care.
Customer: replied 5 years ago.
Hi again,

Thanks so very much for your note. I'll get started on this on Monday. Your advice has been invaluable -- I greatly appreciate it!

All the best,

ksc
Expert:  Dr. Owen replied 5 years ago.
Take care in Europe

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Owen
Dr. Owen
4827 Satisfied Customers
Board Certified Physician and US Medical School Graduate