Doctor insights on:
Abdominal Cyst Treatment
45 y f incidental usg abdomen showing 7 x 5 CM ovarian cyst (bi-loculated, no debris).What are the chance of it regress with medical treatment? Advice?
Ovarian cyst: There is no medical treatment for ovarian cyst.
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
Mucinous cyst: Depends on where, etc. Surgical removal.Get a more detailed answer ›
Depends: If you have a cyst beneath the skin near the shoulder then observation vs surgery needs to be entertained. If the cyst is deep and was seen on MRI within the shoulder joint or near the shoulder joint and its symptomatic then surgery may be needed but it must be properly evaluated by an orthopedic surgeon first.See 1 more doctor answer
Usually surgery.: Typically a mass that size in your pelvis needs to be surgically removed. The best approach to achieve that would be up to your surgeon to decide. Need to see gyn.
Not sure: This is more of a phrase than a question so I'm not sure what your asking. But here's a guess. Warm compresses can sometimes cause these cysts to drain which can allow them to heal. Tylenol (acetaminophen) and advil can be used for discomfort and inflammation. Anything not resolving or requiring aspiration or incision and drainage should be performed by a physician with sterile equipment.See 1 more doctor answer
No treatment: It is normal for a small cyst to develop on the ovaries from time to time. Ovarian cysts are quite common in women during their reproductive years and may be a single cyst or many cysts. Most cysts are benign and only require monitoring. Most are cysts which develops from tissue that changes in the normal process of ovulation. They usually disappear within 6-8 weeks.
Please see a doctor: If the cyst is very large and causes a lot of pain, your doctor may use the following treatments: your doctor may inject a corticosteroid medication, but it doesn't always prevent recurrence of the cyst. Your doctor may drain the fluid from the knee joint using a needle. Cold compression wrap and crutches may help reduce pain and swelling. Gentle range-of-motion and strengthening exercises.
Patience: It is normal for the ovaries to form cysts. Every woman has an ovarian cyst about 2 centimeters in diameter at the time of ovulation. That cyst may enlarge to as much a 6 or 8 centimeters before gradually going away. On rare occasion one of these cysts may cause enough pain to require treatment (medical or surgical). For the majority of these cysts - time /patience is the only treatment needed.
Depends: Bakers cyst is a collection of fluid behind the knee. The fluid is usually extruded from the knee after irritation or injury. They're closely linked to meniscus tears and if this is the case then surgery to repair or remove the tear may cause the cyst to resolve. Sometimes draining the cyst and injecting steroid into it can relieve the symptoms.
Don't pick at it: Warm epsom salt soaks can help to soothe it (and may help bring some of the fluid out/to the surface). Topical antibiotic ointment could help if there is an opening or drainage. Do not pick at it or try to pop it like a pimple--you risk pain and infection. Aside from this, if the cyst does not seem to be going away on it's own, see a physician!
Depends: There are many ovarian cysts that do not need to be treated as they are normal or physiologic. Most of these will resolve spontaneously. Using hormones to try to facilitate resolution is totally unnecessary and is not helpful. Nonphysiologic cysts may need to be removed surgically. It depends on appearance, size, and symptoms.
Ignore, Pop, Excise: This is a benign skin lesion-like a blocked oil gland-thick, cheesy grease is encapsulated in a membrane. If it gets infected, it needs to be drained and removed. Unless you surgically remove the entire lesion, skin pore and membrane, it is likely to return eventually. Excision is quick and easy-in the office, with just local anesthesia. Stitches come out in about a week. Leaves a small scar.See 2 more doctor answers
Surgical removal: Ovarian dermoid cysts also called teratomas are removed surgically. Usually this can be done laparoscopically and is called an ovarian cystectomy.
Depends: If the cyst is causing pressure effects such as headaches, water on the brain, loss of balance or brainstem dysfunction, then the cyst should be drained or removed. If your cyst is not causing symptoms, simple observation may be all that's needed. Of course if the "cyst" is not truly a cyst but a cystic tumor, surgery is needed.
Ovarian cyst: If it is a simple cyst, the ultrasound will be repeated in 2-3 months. If it is a complex (extra walls, growths, solid areas) cyst or a solid cyst, then there is a different plan. Tumor markers need to be drawn to see if a gynecologist or gynecologic oncologist should remove the cyst.