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Doctor insights on: Elevated Ca 125 Sonogram Shows Cyst On Ovary

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Dr. Michael Gabor
2,193 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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I had an ultrasound which showed I have a cyst with size of 6.24 and was told it do a ca125 test and the range shows 53.2 what does it mean?

Not a diagnostic : Value. There are many causes of elevated ca 125, including ovarian cancer. It would be prudent to consult your doctor to see if removal of the cyst and examination by a pathologist is warranted. ...Read more

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I am 49/post menopausal, I have an 11cm cyst on my right ovary, CA-125 test normal. He wants full hysterectomy, I am unsure. Scared. Thoughts?

I am 49/post menopausal, I have an 11cm cyst on my right ovary, CA-125 test normal.  He wants full hysterectomy,  I am unsure.  Scared.  Thoughts?

It depends!: There is some concern that a large cyst in the ovary can be or become cancerous. So removal is often advised. But if you prefer, you can be monitored with serial physical exam and Ultrasound examinations at 6 to 9 month intervals and delay surgery unless the cyst continues to grow or become more complex like showing solid components inside the cyst.. ...Read more

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Cyst on ovary and ca125 came back at 132. Please I am so scared. Being referred to a obgyn oncologist, should I be concerned?

Cyst on ovary and ca125 came back at 132. Please I am so scared. Being referred to a obgyn oncologist, should I be concerned?

Not yet...: Many ovarian cysts are benign. Ca125 elevation can be seen in many things causing irritation of the mesothelial lining if the abdominal cavity. Ovarian cancer is one such thing that can cause irritation, but also ruptured ovarian cysts, ovarian torsion, infections have all been reported to cause elevated ca125. Wait until the oncologist evaluates you. He/she will tell you how concerned to be. ...Read more

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Help! There's a cyst on ovary and ca125 came back at 132. What's going on?

No diagnosis: If there is a cyst of the ovary smaller than 5 cm it can be watched. If complex on sono or larger than 5 cm. biopsy indicated. Ca 125 cant be used for diagnosis. FDA has approved the Carbohydrate Antigen measurements for monitoring purposes only. Ca125 will go up in the presence of an inflammatory process and can also go to levels over 1000 associated with ascites from alcoholic cirrhosis. ...Read more

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I recently found out that she had cysts in her ovaries, and had a ca125 test.?

No concern: Cysts of the ovary are common. If they are not complex but greater than 5cm, . Removal suggested under 5 cm can be watched. Ca 125 isa carbohydrate marker noted in tumors and inflammatory conditions. Since it is elevated in inflammatory pelvic disease it has no importance in benign disease. And can only be used for monitoring. ...Read more

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What to do if my friend recently found out that she had cysts in her ovaries, and had a ca125 test.?

Watch: Cysts in ovaries not uncommon and can be defined as simple or complex or even converting by a solid component. Ca125 means Carbohydrate antibody 125. Sugar markers like Ca125, Ca 19.9 Ca 17.1a have no diagnositic capabilities since they are elevated in inflammatory conditions. Ca monclonals can only be measured safely in known conditions of cancer to see progression or not. ...Read more

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I have an endometriosis cyst on both or sometimes only on one side of my ovaries, do I need to go for a check up for my ca-125 every single year?

Complicated: Ca-125 can be useful to follow endometriosis, especially to see how one therapy versus another is working. There is no strict rule as to how often to check it. Generally that is individualized for each patient. ...Read more

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Cyst on ovary and ca125 came back at 132. Being referred to a obgyn oncologist, what does this mean?

Non specific: An ovarian cyst that gets to be larger than 5cm should be investigated for the possibility of having undergone malignant transformation. The only dx can be by excisional bx. CA 125 stands for carbohydrate antibody/antigen which has about a 50% accuracy in diagnosis and should only be used for monitoring, that is the response or failure to chemo or other forms of treatment. ...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


Dr. Creighton Wright
125 doctors shared insights

Ca125 (Definition)

Ca-125 (cancer antigen 125 or carbohydrate antigen 125) is a biomarker/tumor marker for ovarian cancer (etc); however, it is not sensitive or specific enough to use as a screening test. Also, a uk study showed that treating based on ca125 level did not improve outcomes. "125" comes from the 125th attempt to develop a marker. It was introduced by bast ...Read more