<s>[INST] Hi Doc hope you had a great week I am currently extremely Ill. Was diagnosed with endometrial CA last year have had a subtotal feb 2012. Another biopsy April 2012 showing a suspicious mass where right ocary should be.Lab lost rwsults.So surgeon thumb sucked it to be a cyst.Said however left ovary not present.Doctor at emergency who performed my hysterectomy at a fertility clinic insisted to surgeon from April he did not remove.Two Mri and Cts say otherwise. My CA125 shows cancer. Have fever since hysterectomy thats appears leaving bedridden also unbearable pelvic pain as well as rectum.When pain is 10 always accompanied by bleeding.Im bedridden for 2 months.Im trembling from pain and fever.South African Doctors???God Bless You AAAAA [/INST] Hello Now as per the details that you have given it looks that you have a recurrence of disease/Ca ovary your CT scans need to be evaluated, and then a decision needs to be taken for a surgery/ neoadjuvant chemotherapy, the latter options seem to be more likely for you as you mention persistent fever and overall your general condition may not bee so great for an immediate second surgery, do tell if I can help you further, take care </s>