ovarian cysts and removal

If the cysts continue to grow and need to be removed, removal of just the cysts (cystectomy) is the way to go if the frozen section shows they are benign. Of course, for women who are genetically predisposed to ovarian cancer, this may not be the best course. This site is a good resource about ovarian cysts - http://ovaryresearch.com/ovarian_cysts.htm. This one talks about the many adverse effects of ovary removal with links to studies - http://www.overy.org/. I hope this helps.

Hello, Given your family history of ovarian cancer, it is important that the ovarian cyst has been sent for biopsy. Ovarian cysts are considered for removal if they cause pain or have tendency to become malignant or there is elevated CA125. Do not take undue stress as biopsy of the ovarian cyst is in your welfare only. It may be just a precautionary measure by the surgeon because your mother had history of ovarian cancer.

I had a ovarian cystectomy in 1986, total abdominal hysterectomy in 1994, bilateral salipingoophrectomy and ovarian cysts removed in 2005. This year I had a CAT scan for another medical issue and it was discovered that I had masses both right and left adenxal area. I went to the Cancer Institute of NJ for a consultation with a GYN/Oncologist. After numerous tests including MRI, Ultrasounds, CA-125 (negative) and I had lab work done which indicated I was premenopausal.

I am sorry you are dealing with this. The good thing is that most ovarian cysts are benign and most resolve on their own. However, these sound like the type that do not go away so need to be surgically removed especially the larger one due to size. According to radiology websites, hypoechoic cysts are usually endometriomas or teratomas (dermoids) both of which are benign (non-cancerous) cysts. Of course, imaging is not exact so they cannot know for sure until they do surgery.

Do you have Polycystic Ovary Syndrome (PCOS) and miss a lot of periods? Other than that, I have not heard of ovarian cysts increasing risk of uterine cancer (or ovarian cancer). Have you tried birth control pills to try to prevent the cysts and regulate your cycles?

In young women these cysts are usually functional cysts and often will resolve spontaneously or with medical management. However if it is a complex cyst or an endometriotic cyst then this will require a laparoscopy and/ or removal. Consult a gynaecologist for an evaluation. Hope this helps.

After multiple tests (ultrasound, ct scan and MRI) I was told I have complex ovarian cysts 5×4 cm on both ovaries and pancreatic cyst that is over 1cm . I have 2 questions. 1. Since I very much refuse and will be refusing contraceptives , how else naturally can I cure ovarian cysts? 2. Can acidic taste in my mouth with coating on my tongue and lower back pain be due to pancreatic cyst?

Sometimes, doctors watch and wait smaller cysts and sometimes they choose to operate. Still, most cysts (even larger and complex ones) turn out to be benign.

In such cases medical help should be sought. Large cysts need surgical removal .In your case monitoring the cysts and a prescription of pain killer if there is associated pain are recommended.I hope you find this information useful. Do keep us posted. Best wishes!

The right ovary is enlarged and measures 8.2 x 4.9 x 4.0 cm. There is a complex ovarian mass that measures 5.3 x 3.1 x 3.6 cm fine low level internal echoes. There is another complex cystic lesion that measures 3.0 x 2.4 x 3.4 cm with fine low level Lacey echoes. No flow is identified within these lesions and they likely represent hemorrhagic cysts. A simple cyst is also noted measuring 4.3 x 2.4 x 3.4 cm. And the report states that I have free fluid by my vaginal cuff.

I'm sorry no one responded... I thought I had but evidently did not. Most ovarian cysts are benign (non-cancerous) and resolve on their own in about 3 months. If they don't resolve and you end up needing surgery, you shouldn't need to lose your ovary if the cysts are benign (as shown by frozen section) and you have a surgeon with good cystectomy (cyst removal) skills.

5 cm and the right ovarian cys is about 8.5 cm. I have been on birth control pills for over 2 years and my bloodwork for hormones all came back at normal levels. I am curious about why these cysts may have formed and are they a sign of future problems?

the patient a 41 year old female with a history of ovarian cysts and fibriod. nabothian cysts in the endocervix, 1.49cm8 0.63 in size noted. the uterus measures 7.33cm*5.37cm*4.92cm in size. endometrial thickness is 4.2mm and homogeneous. myoma in the body of the uterus posteriorly, 1.89cm* 1.36cm* in size noted. the right ovary is enlarged, measuring 5.23cm* 3.83cm* 3.08 in size noted. large clear cyst right ovary, 3.75cm* 3.

Doctors with good cystectomy (cyst removal) skills can almost always remove ovarian cysts and preserve the ovary or enough of it for normal function. It may be more difficult to find a doctor who will do a cystectomy than an oophorectomy (ovary removal) because it takes a little more skill and time and I've read it typically doesn't pay any better.

Yes and those symptoms are fairly typical for ovarian cysts. Almost all ovarian cysts are benign, including complex ones, and most go away on their own. Imaging is not exact so they cannot always tell the type of cyst. For example, yours appear to be complex but they could be multiple fluid-filled cysts making them appear as one cyst with septations. These are common in women with Polycystic Ovary Syndrome (PCOS). Could you possibly have PCOS? When is your appointment with gyn oncologist?

MANY women lose an ovary or ovaries unnecessarily for ovarian cysts. Surgeons who have good cystectomy skills are almost always able to remove cysts leaving the ovary or a good amount of ovarian tissue intact as explained here http://ovaryresearch.com/ovarian_cysts.htm. The cyst can then be biopsied while you are in the operating room (frozen section) and should typically dictate the course of surgery.

I have had several operations for ovarian cysts removal. 12 years ago I had my right ovary removed because the cyst spread over the whole ovary, and 2 years ago it spread to the left ovary, and had that removed. Now the cyst on my left ovary has resurfaced. I am feeling alot of pain, and I have been to the doctor and was told to follow up on my cyst but I never did because of insurance reasons. But I have been having pains on my left side, like a burning and painful sensation.

HI, During cyst removal only the cystic part is removed and the normal ovarian tissue is preserved. Hence this should not affect your fertility in any way. Consult a gynaecologist for follow up. Hope this helps. Take care and good luck.

A related discussion, <a href="/posts/Ovarian-Cysts/Cyst-removal-or-hysterectomy/show/2290957">Cyst removal or hysterectomy</a> was started.

However, benign cysts can still make us very ill and require removal. This surgery is very commonly done with minimal risk, although any type of surgery has some risk.

The "mixed solid and cystic lesion" sounds like a complex cyst. MOST ovarian cysts, even complex ones, are benign (non-cancerous). And the "no internal vascularity" is an indication that it is benign. I would think the lack of inflammation is also a good sign as well as the lack of fluid in the pouch of Douglas and "no adnexal masses or cysts." The dimensions "51 x 45 x 39mm" converts to "5.1 x 4.5 x 3.9cm.

Good morning all, I am new to the community and am a bit scared. I found out yesterday that I have an a cyst on my right ovary that measures 4 x 4 x 4.75 cm. Doc said that they normally worry about cancer when the cyst reaches 5 cm. I went last night and had blood drawn for a CA 125 screen. I go today at 3:30 to meet with the doc to find out the severity, options, etc. They are already talking about removal. Does anyone know what a "Complex" ovarian cyst is?

If you really want the problem to end, then removal of the ovaries would solve things, IF they are truly ovarian cysts and not ones caused by endometriosis. If endo is the cause, then they would recommend a hysterectomy. All of these are really final decisions and not easy ones to make. If you are young, loss of ovaries can require you to take hormones until you reach an appropriate menopause age.

I have PCOS and a history of ovarian cysts. I also carry the genetic marker for ovarian cancer. My greatgrandmother had ovarian cancer at 36, my gma was 41, my great aunt was 43. My mother and her sisters all had hysterectomies in their early 30s. I have a bicarnate (sp?) uterus and it is partially attached to my bladder. This hasn't caused me issues except when I've had uterine fibroids when I was younger. At this point I have scheduled surgery for April 1.

Complex cysts sometimes resolve on their own but oftentimes have to be removed especially if they get too large (risk of ovarian torsion). Since the ovaries and uterus have LIFELONG functions and removal of any part can wreak havoc on hormones and long-term health, it is best to have just the cyst removed (cystectomy) allowing you to keep your ovary (or enough of it to regenerate). I had a cyst similar to yours and my organs were needlessly removed (hysterectomy and oophorectomy).

Also I have found a small, hard knot behind the opening of my cervix. Ovarian cysts, ovarian cancer, and endometriosis are something that has occurred in my family many times. I am terrified. I have made an appointment at my gynecologist (sp?) but I have to have a referral to see them. My appointment is in 6 days and I don't know any doctors around where I now live to receive a referral. I am curious to know if others have had these symptoms and what did they turn out to be.

Benign ovarian cysts (dermoids included) do not require removal of ANY organs and certainly not your uterus unless you have a surgeon who needlessly removes organs (there are plenty out there since only 2% of hysterectomies and oophorectomies are done for a cancer diagnosis). Dermoid cysts are VERY RARELY cancerous and if you do not have a predisposition for ovarian cancer, your lifetime risk is less than 2%. I was over-treated for a benign 9.5 cm ovarian cyst (cystadenoma).

Ovarian cysts and removal

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