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Doctor insights on: Complex Ovarian Cyst With Septation

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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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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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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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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 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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Ovary has a simple cyst 36x24mm+a 29x30x34mm cyst with thick avascular septation and internal debris+ cyst 10x9x13mm with thin septation is it serious?

Ovary has a simple cyst 36x24mm+a 29x30x34mm cyst with thick avascular septation and internal debris+ cyst 10x9x13mm with thin septation is it serious?

Very specific: This is highly specific question describing a unique patient care issue. A doctor will need to evaluate this one and one to determine the treatment plan. Most ovarian cysts are benign. This may be degenerating simple ovarian cyst that can be monitored, but a doctor will need to review your report and do a history and physical to determine the next steps and provide guidance ...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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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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Complex cyst with small mural nodule what is mural nodule?

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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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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Ovarian cyst with small mural nodule what is mural nodule?

Ovarian cyst with small mural nodule what is mural nodule?

Nodule/ovarian cyst: You should go to your gyn have blood drawn for cea, and referral for pelvic mri. The concern is that solid tissue within an ovarian cyst could mean a potential abnormal abonrmality. ...Read more

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Ultrasound says complex ovarian cyst, septated, internal echos and avascular. Says could be possible haemorrhagic cyst but i'm worried of cancer?

Ultrasound says complex ovarian cyst, septated, internal echos and avascular. Says could be possible haemorrhagic cyst but i'm worried of cancer?

Follow-up required: In a patient of your age, it is likely self-limited and very well could represent a hemorrhagic cyst. However, a repeat ultrasound 6 weeks following the first is suggested to document resolution or decrease in size and to re-evaluate for patency of the ovarian artery. ...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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Ovarian cyst with papillary excrescence can be suspicious cyst?

Ovarian cyst with papillary excrescence can be suspicious cyst?

Yes: Very suspicious especially if the cyst is thick-walled, has multiple septations, or increased vascular flow on doppler ultrasound. You need to see your gyn specialist to review your risk factors & most likely, you will need at a minimum laparoscopic surgery to get a final diagnosis. Good luck & take care. ...Read more

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7cm complex ovarian cyst, and complex right Ov cyst, dilated tube w/debris, pelvic fluid cause abdominal Bloating? Doctor is concern for ovarian canc.

7cm complex ovarian cyst, and complex right Ov cyst, dilated tube w/debris, pelvic fluid cause abdominal Bloating? Doctor is concern for ovarian canc.

Yes...: Tubal and ovarian masses can cause abdominal bloating. Most ovarian masses (75%), regardless of size, are benign (not cancer). There are many causes of complex tubo-ovarian masses including ectopic pregnancy, infections (abscess), normal physiological process (post ovulation bleeding), etc.; that are not cancer. It is good that you have a clinician following you. ...Read more

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My daughter diagnosed Complex Ovarian Cyst with septation and debris. 4.3 cyst. Pain and fear. Do these cyst normslly require surgery?

My daughter diagnosed Complex Ovarian Cyst with septation and debris. 4.3 cyst. Pain and fear. Do these cyst normslly require surgery?

No: Most of the time in young women these cysts are functional/hemorrhagic cysts and resolve by themselves. If they keep enlarging, or become more symptomatic, surgery may be indicated. If there are imaging features suggestive of tumor rather than just hemorrhagic cyst surgery might also be indicated. ...Read more

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11.1cm cyst ."Markedly enlarged complex cystic cluster of grapes configuration right ovary with vascularity seen with septations " is removal best opt?

11.1cm cyst ."Markedly enlarged complex cystic cluster of grapes configuration right ovary with vascularity seen with septations " is removal best opt?

Ovarian cysts: You did not mention your age, but such a result of a scan indicates that the cluster of cysts should be sampled and a tissue biopsy should be obtained. This can be done by laparoscopic means (minimally invasive). See your GYN provider and have this done immediately. ...Read more

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Dr. Theodore Davantzis
2 doctors shared insights

Ovarian Cyst (Definition)

A condition in which a growth (often balloon-like, thin-walled, and filled with fluid) arises on an ovary (the female ...Read more