Removal of ovarian cysts in infants
Common Questions and Answers about Removal of ovarian cysts in infants
ovarian-cysts
I have 2 complex cysts on my left ovary measuring 2.5 cm. They have been there since 2013 and have doubled in size. I'm 50 years old and post menopausal and have been on hormone replacement therapy for several years. I wasn't aware of the cysts until last week. I had a CT done last week for gallbladder concerns andthe cysts were noted on the CT report and noted that they have increased in size for the CT I had done in 2013 for kidney stones.
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 in post-menopausal women are common but any cysts in a postmenopausal woman should be taken seriously and ovarian cancer should be ruled out by means of CA125 which you have already got done. Ovarian cysts are considered for removal if they cause pain or have tendency to become malignant or there is elevated CA125. Given your history of abdominal swelling, ovarian malignancy can be a possibility.
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.
The CA125 test is not a good tool for diagnosing cancer. Benign conditions, including benign cysts, can cause an elevated result.
The good thing is that your gyn plans to do a cystectomy (cyst removal) which would preserve your ovary.
During the surgery he made an initial diagnosis of endometriosis and burned off some of the implants that he found. (He showed me the pictures). One of the cysts ruptured during removal.
The pathology came back as atypical proliferative borderline endometrioid tumor, and a consult with Johns Hopkins pathology confirmed the diagnosis.
I have an appointment with a gyn-oncologist, but I would like to do as much research as possible before.
I'm sorry you're going through this. I know our minds tend to think the worst which doesn't do us any favors. But thankfully, the large majority of ovarian cysts, even complex ones, are benign. And imaging is not perfect so they cannot always tell the type of cyst. For example, hemorrhagic (blood filled) cysts that typically resolve on their own can appear solid (and concerning) on imaging.
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.
Ovarian cysts are common and almost always benign (non-cancerous) including ones that have some suspicious traits. A woman's lifetime risk of ovarian cancer (OC) is less than 2% (1.3% per U.S. government statistics). Imaging is not exact and doctors have to cover their bases hence the reason for saying malignancy cannot be ruled out. Biopsy is the only way to know for sure
Erratic bleeding is pretty much the norm during perimenopause.
Hello everyone
In September 2013 I was having abdominal and pelvic pain and pressure so I decided to take a trip to the doctor. The doctor sent me for an ultrasound and bloodwork. The ultrasound showed that I have a 9cm ovarian cyst on my right ovary. At first I was freaking out. I am only 21 and had no idea why I would have this and what I could do to get rid of it.
My doctor then suggested I start birth control and begin a lactose, gluten, and sugar free diet.
When the follicles are forming small cysts may be present in the normal ovary. These ovarian cysts which start during the normal function of menstrual cycle are called functional cysts which are of two types follicular cyst and corpus luteal cyst. Most of these cysts are harmless and disappear over a period of time. They are usually asymptomatic. In few patients cysts may cause menstrual irregularities, pelvic pain. In such cases medical help should be sought.
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.
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.
How large is the ovarian cyst? Ovarian cysts that are 5cm or greater, and are complex (like yours with a solid element) are usually treated with surgery. They have a greater chance of being malignant than smaller, simple cysts. 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.
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.
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.
Depends on the type of surgery: laparoscopy or laparotomy. The scope type is much quicker recovery than an open surgery. I had my left ovary and tube (and 10 cm cyst) removed a couple years ago. I was back to work in a week (light duty, no heavy lifting). There was abdominal tenderness for quite awhile but I wasn't bedridden for weeks. Do you have any idea which type of surgery may be planned?
Most ovarian cysts, even complex ones, are benign especially if you do not have a genetic predisposition for ovarian cancer. A woman's lifetime risk of ovarian cancer is less than 2% (1.3% per U.S. government statistics).
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.
Having had my life upended by the removal of my ovaries (and uterus) and now aware of all the increased health risks and loss of quality of life, I would advise against having your ovaries removed. Studies have shown the importance of both ovaries our whole lives despite the high rate of oophorectomies. I'd be happy to share details if you'd like.
I had 2 dermoid cysts removed via laproscopy last week. One was the size of a grapefruit and twisted twice on its stalk on my left ovary and the other on my right ovary was the size of a softball. I went to the ER in pain and had them taken out a few days later. The Dr also said he removed parts of my ovaries but left some ovary tissue on both sides (more on the right than the left). He was really vague and will find out more info at my followup.
By far, most ovarian cysts are benign even complex ones. Most cysts resolve on their own in 3 cycles or so but complex ones are less apt to resolve. Since removal of even one ovary can impair fertility and even lifelong health (since the ovaries produce hormones a woman's whole life), it is best to have just the cyst removed (cystectomy) versus the ovary (oophorectomy).
A related discussion, <a href="/posts/Ovarian-Cysts/Cyst-removal-or-hysterectomy/show/2290957">Cyst removal or hysterectomy</a> was started.
She is told it has to be removed and on hormone replacement therapy the rest of her life but is told that the hormone therapy will be dangerous for her due to the high risk of blood clots. Is there an alternative therapy she can take or alternative to removal of the ovary or way to just treat the cyst?
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