I’d insist on the lap, especially if you’ve never had one... but I would suggest finding a doc who can do excision as well.

Did they test your ca125 levels, too? Are they doing any other testing, like mri? I had a huge endometrioma (actually two in one) in the same spot. They had the same concerns but thankfully it was Endo, not cancer.

Yep, if it’s high, something is going on.. but not necessarily cancer. If it’s low, you may still have cancer.

CA125 is kind of a stupid and irritating test. It stands for cancer antigen and the level can be high in women with endo and no cancer and low in women who actually have ovarian cancer... I don’t know exactly why they use it. My level was slightly elevated. But again, no cancer.