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A member asked:
Complex left pelvic cyst 5x4.6x4.6cm on scar of previous hysterectomy. is aspiration via us possible or is surgery better? abdominal pain and bloating
5 doctors weighed in across 3 answers
Cyst aspiration: If the cyst is aspirated is will refill with fluid over time. Surgery is a much better option.
Answered 1/10/2015
4.6k views
Surgery: The cyst can be biopsied to determine why it is there, and rule out malignancy.
Answered 1/4/2014
4.6k views
Surgery vs. Observe: Any post-menopausal woman with a complex pelvic cyst has to be careful for ovarian cancer; aspiration would be the last treatment option i'd consider unless you have morbidities that prevent you from having a safe surgery, i.e. Morbid obesity, cardiac failure, etc. I would either f/u w/ imaging in 3 mo's for growth of this cyst (unlikley) or accept surgical excision. Family history? Ca-125?
Answered 1/17/2014
4.6k views
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