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gynecological follow up after rectal cancer

Wondering what kind of follow up is recommended s/p rectal cancer treatment.
No ovarian cancer in my family and the colon cancer was of the non-heredity type.
There was significant anastomotic leak/repeat pre-sacral abscess/multiple drain attempts and now with 5th try of enteral stents trying to keep peri-rectal area open for drainage.
Have 2nd diverting ileostomy now. LAR was performed in 2005.
Unfortunately have had persistent low sacral pain/perineal pain thought secondary to the prolonged inflammation/interventions/fibrosis and maybe radiation related, too.
Transvaginal u/s now shows cyst on left ovary. My last period was in 2005. Have had close to 100 CT scans to check on the abscess/collection and each says pelvic organs unremarkable.
Gynecologist wants to rpt. u/s in 3 mos.
Thank you very much,
K
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Avatar universal
thank you so much.
kathy
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Avatar universal
I am so sorry to hear about your cancer.  I would follow your gynecologist's recommendation and get the ultrasound in 3 months.  It is unlikely you are facing two different cancers.  But, it is possible for the rectal cancer to spread to the female organs.  But, usually, you would see more widespread signs of metastasis, rather than just an ovarian cyst if the two were linked.  The same virus that is implicated in causing most cervical cancer is also thought to cause most rectal cancer.  So, keeping a close eye on the cervix and ovaries is important.  You should also continue to get regular pap smears.  Ovarian cysts are very common and odds are with you that it is a benign cyst.    If you continue to get the recommended checks on time, then you will catch any changes early.   My thoughts and prayers are with you for healing!

Shelly
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