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Doctor insights on: Complex Adnexal Cyst

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Is multi septate complex ovarian cyst malignant?

Is multi septate complex ovarian cyst malignant?

Possible: Most malignant ovarian cancers are complex and multilocular / multiseptate. But many benign ovarian cysts also present that way as well. The only way to know for sure is to biopsy or remove the cysts for pathologic evaluation. ...Read more

Cyst (Definition)

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


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Is an exophytic complex ovarian cysts serious?

Is an exophytic complex ovarian cysts serious?

Yes: Exophytic means there is growth on the outside of the cyst. Complex means there are different materials in the cyst or there are walls in the cyst. This raises the suspicion of malignancy. ...Read more

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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What are complex ovarian cysts?

What are complex ovarian cysts?

Complex cyst: A complex ovarian cyst is a term used to differentiate it from the more common "simple" cyst. A simple cyst is a cell membranes surrounding a fluid filled sac. A complex cyst means there are liquid and solid components. While most complex cysts are benign this term is also used to describe cysts that need closer follow up to confirm resolution as some will need surgical management. ...Read more

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What is complex ovarian cyst?

What is complex ovarian cyst?

Cystic and solid: Ovarian complex cysts have cystic and solid components on ultrasound and bears further evaluation by your md. ...Read more

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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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Complex left ovarian cyst what is that 6.4 x6.2?

Complex left ovarian cyst what is that 6.4 x6.2?

Ovarian cyst: complex means either it has walls (septations) or has both cystic and solid components. At over 6 cm in size your cyst is at risk of causing twisting of the entire ovary causing torsion (cutting off the blood supply). Usually at 6cm it needs to be addressed likely surgically. Complex cysts also mean slightly more likely to be tumors (benign and cancerous) are usually complex or hemorrhagic ...Read more

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Can a cystic tumour be cancerous? 27cm septated ovarian cyst. Thanks

Can a cystic tumour be cancerous? 27cm septated ovarian cyst.  Thanks

Yes: It can. It would be helpful to know your age and history to comment further. Septated cysts are also a malignancy risk but there are septated benign tumors too. Do you mean 27 cm or 27 mm? The smaller one 27 mm is fairly low risk regardless; if you mean the larger (27 cm) the risk is correspondingly higher. I hope this helps, good wishes. ...Read more

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Can Ovarian serous cystadenocarcinoma cyst resemble functional cyst on MRI?

Can Ovarian serous cystadenocarcinoma cyst resemble functional cyst on MRI?

No: A simple cyst has a very specific benign appearance, while a cystadenocarcinoma usually has characteristics that are pathognomonic for a complex mass. A benign hemorrhagic cyst may resemble a worrisome cystadenoca. If you are worried about an ovarian cyst, talk to your doctor. You can do an ultrasound in 4-6 weeks. If it is a cancer, it will not be the same size or have the same characteristics. ...Read more

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Is septated cystic structure in ovary benign?

Is septated cystic structure in ovary benign?

Possible: An ovarian cyst can be benign but sometimes a septated cystic structure could mean cancer. See your doctor for further evaluation. ...Read more

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Complex cyst with small mural nodule what is mural nodule?

Soft tissue: A mural nodule is a small nubbin of solid tissue on the inner wall of a cyst. It is another component of a complex cyst (where is it?). Complex as opposed to simple cysts are at a higher risk for harboring malignancy and so usually require further evaluation. ...Read more

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Complex bilateral cysts on ovaries. Is this serious?

Possibly: The word complex is thrown around a lot in ultrasound but it is actually pretty worthless. There are things that look "complex" but are benign and can easily be identified as such and similar with malignant lesions. It really depends what it actually looks like. Were there any other descriptors of the lesion. ...Read more

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Complex ovarian cyst w/intern.Septations, submuc. Fibroids, nabothian cysts, liver cyst, hernia. All new w/in last 8 weeks. Possible cancer? Type?

Complex ovarian cyst w/intern.Septations, submuc. Fibroids, nabothian cysts, liver cyst, hernia. All new w/in last 8 weeks. Possible cancer? Type?

Slow down a bit...: Ok, you have a lot of issues just recently identified. I'm doubtful you have any cancer. Your biggest concern appears to be the ovarian cyst, which is probably benign, but you need to be evaluated by your gyn. The hernia is an elective process, and the liver cyst is probably congenital. Fibroids and nabothian cyst can also be evaluated by your gyn. Take a breath and make an appointment. Good luck. ...Read more

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What causes ovarian dermoid cysts?

What causes ovarian dermoid cysts?

Not known!: Hello, we don't know why ovaries make their cysts. Seems that they are a very active organ, what with making eggs and hormones, and sometimes the egg-making cells just overgrow and become a dermoid cyst, complete with hair, skin, and other cells that the 'germ cell' (egg producing cell) has in it's potential. Wierd, huh! they are benign, but don't go away without surgery, and can be recurrent. ...Read more

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Is a ovarian dermoid cyst baby?

Is a ovarian dermoid cyst baby?

No: Dermoid is caused by stem cells which have been present in your body since you were an embryo. These stem cells grow and form a tumor. It is not a baby and never will be a baby. ...Read more

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Right ovary with multiple follicle cysts and dominant 1.1 cm mildly complex cyst. Can this be cancerous?

Right ovary with multiple follicle cysts and dominant 1.1 cm mildly complex cyst. Can this be cancerous?

Yes sometimes: Yes, some complex cysts can be cancerous, but most are not when they are that size. Usually doctors follow these with sequential ultrasounds until better clarified. ...Read more

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Is a septated liver cyst cancerous?

Is a septated liver cyst cancerous?

Usually not: I've seen these often at autopsy and they're quite benign. Ask the radiologist for a better idea. ...Read more