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Doctor insights on: Is Ovarian Cyst With Mural Solid Component Malignant

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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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50 yrs; uniloculated rt ovarian cyst with no solid components of 10x8cm persisting for a year with no increase/decrease in size. Can it be observed?

50 yrs; uniloculated rt ovarian cyst with no solid components of 10x8cm persisting for a year with no increase/decrease in size. Can it be observed?

Observation: A simple cyst even above 8 cm has a very low chance of being a cancer. Despite that fact, removal would be recommended because of the chance of it causing pain or torsion. If you do not want it out, that is your decision. You physical health must also be taken into account. ...Read more

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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

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Can mural nodules in ovarian cyst be benign?

Can mural nodules in ovarian cyst be benign?

Can be benign: Ovarian cystic mural noduls could be benign — fibroadenomas, could have borderline potential and can be malignant. Carefull pathologic/ microscopic evaluation needed. Eva. ...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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Ovarian cyst with papillary excrescence within the cyst is solid tissue?

Ovarian cyst with papillary excrescence within the cyst is solid tissue?

Talk to physician: Based on the very limited information provided, you may nee dot have this ovary removed surgically. Talk to your gynecologist. ...Read more

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Can an ovarian cyst with proteinateous content be benign or always malignant?

Can an ovarian cyst with proteinateous content be benign or always malignant?

Usually benign: That's usually benign. Your gynecologist will advise you whether the fluid should be aspirated by needle, or the cyst merely observed over time by ultrasound. ...Read more

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If an ovarian cyst is malignant and leaks what happens?

If an ovarian cyst is malignant and leaks what happens?

Spread : This could increase the risk of spread if the leaked cells are cancerous. It largely depends on the type of cancer. ...Read more

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What is ovarian cyst solid or cystic is solid concerous?

What is ovarian cyst solid or cystic is solid concerous?

Not necessariy: Solid does not mean cancer. A cyst is fluid filled like a water balloon. Solid is solid compact tissue. ...Read more

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Should I be worried about a growing heterogeneous ovarian cyst that now looks more solid??

Should I be worried about a growing heterogeneous ovarian cyst that now looks more solid??

Growing ovarian cyst: While I am NOT a gynecologist a "growing" mixed density ovarian cyst is of concern. A simple cyst — fluid filled is generally benign but a heterogenous cyst may represent something like an endometrioma — You don't list any symptoms but I would recommend that you see a gynecologist and consider having the cyst removed and analyzed to make sure it's not something of concern. Good luck ...Read more

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Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned?

Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned?

Need to evaluate: I would recommend further evaluation with a gynecologist there are many causes for ovarian growths or cysts. Any cyst that is complex or has solid components needs further testing. ...Read more

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Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned? Generally feel rubbish with it all too.

Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned? Generally feel rubbish with it all too.

Seek Gyn oncologist: It is usually recommended that a complex ovarian lesion "looking more solid" be carefully evaluated and removed for pathological examination (exploratory laparotomy or laparoscopic surgery) to rule out a malignant ovarian tumor. Although the risk of cancer is relatively low, it would be best to seek a consultation from and the expertise of a Gyn oncologist. ...Read more

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Have two ovarian cysts on my LT ovary. 4.5cm simple & 1.5cm solid. Solid one has increased to 5.3cm. Nothing has been done, 2nd opinion? Alot of pain

Have two ovarian cysts on my LT ovary. 4.5cm simple & 1.5cm solid. Solid one has increased to 5.3cm. Nothing has been done, 2nd opinion? Alot of pain

Pain trumps cystsize: When you are having pain then the MD needs to consider the source. A 1.5 cm solid or 4.5 simple cysts do not usually produce severe pain due to their small size. However, a repeat ultrasound, pelvic exam or laparoscopy may be warranted. ...Read more

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Can doctors tell if a cyst is a malignant ovarian cyst from my hormones?

Can doctors tell if a cyst is a malignant ovarian cyst from my hormones?

Usually not.: Hormonal tests (ca 125) is neither senstive nor specific enough for detecting ovarian cancer, particularly in early stages. If the cyst has suspicious features on ultrasound your doctor or a gyn specialist would be able to guide you. ...Read more

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What exactly is a complex dermoid ovarian cyst with an enhancing mural nodule? And how serious is it?

What exactly is a complex dermoid ovarian cyst with an enhancing mural nodule? And how serious is it?

Not cancer: A dermoid cyst is a benign type of turmor containing multiple types of tissue and has a characteristic appearance under sonography. It will always have a complex appearance and the mural nodule is simply part of that. Most dermoids gradually get bigger and have to be removed at some point, but if it remains stable it could be watched. Surgery can be done day surgery with small incisions. ...Read more

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Have 5cm ovarian cyst that is partially solid. CA125 is negative. What are chances it is cancerous? Dr says looks suspicious but reassured CA125 neg

Have 5cm ovarian cyst that is partially solid.  CA125 is negative. What are chances it is cancerous? Dr says looks suspicious but reassured CA125 neg

Ca 125 no value: Most markers in the serum are Ca or carbohydrate antigens which have no diagnostic value. The can be absent from cancer or dx inflammation such as cirrhosis. A pure cystic lesion of ovary can be watch for possible changes. When there is trabeculation or any solid component the only diagnosis is when the ovary is removed, probably laparoscopally, the path dx made and treatment if necessary. ...Read more

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How can radiologist tell the difference from a malignant and benign ovarian cyst on ultrasound. And is the sympthoms the same.

Imaging findings: Radiologist can simply raise suspicion of malignancy based on imaging findings. These may include internal separation, solid component and presence of fluid in the pelvis.

This may alarm the gynecologist to further investigate the cyst. Final diagnosis is often based on surgical and histopathological evaluation. ...Read more

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Having an ovarian cyst, possibly endometrioma, 5cm. This is recurrence after removing one a few mts ago by lap surgery. Any risk of malignant? Hope not

Having an ovarian cyst, possibly endometrioma, 5cm. This is recurrence after removing one a few mts ago by lap surgery. Any risk of malignant? Hope not

Unlikely: If you were treated for endometriosis, and a recurrent cysts shows up at the same site as prior endometrioma removal, then it is just recurrent endometriosis — most likely. Given your age, the chance of ovarian cancer is exceedingly rare. ...Read more

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Can a solid hemorrhagic ovarian cyst cause random pains in the lymph nodes in the groin?

Can a solid hemorrhagic ovarian cyst cause random pains in the lymph nodes in the groin?

Ovarian cyst: A "hemorrhagic" ovarian cyst is not usually a cause for groin lymph node pain. Lymph nodes are usually painful in that area secondary to an infectious process (viral or bacterial). As ovarian cysts expand, the pain is lower abdomen, and aggravated by movement, bowel activity, sexual relations, etc.. You might ask your gyn about oral bcp to diminish the occurrence of such cysts. ...Read more

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Ultrasound showed a solid ovarian cyst 5cm 6 weeks ago. Recent MRI says there's nothing. I feel mass by myself and have pain, too. What's happening now?

Ultrasound showed a solid ovarian cyst 5cm 6 weeks ago. Recent MRI says there's nothing. I feel mass by myself and have pain, too. What's happening now?

See gyn: At the size mentioned, it should be palpable.
If truly gone, it was a cyst and the fluid is gone and absorbed.
If not an exam and possible ct may clarify. ...Read more

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Could s simple 2 cm ovarian cyst on ultrasound that shows up as small enhancing cyst on ct scan be malignant in a premenopausal woman? No change in yr

Could s simple 2 cm ovarian cyst on ultrasound that shows up as small enhancing cyst on ct scan be malignant in a premenopausal woman? No change in yr

Low chance: If the cyst is described as simple as there is only fluid inside. So no other growths inside the cyst. Simple cysts are almost always benign. The fact that it hasn't changed in a year is also a good sign. Overall, very low chance of being malignant. Ask your doctor to monitor it every year. ...Read more

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I have two ovarian cysts, one complex and one mural nodule. They are very painful. I've had one in the past. Does this affect fertility/having kids?

Gynecology consult: Knowing a woman's age is a prerequisite to evaluate ovarian masses. I have not heard of a "mural nodule" in the context of ultrasound of the ovary. Complex cysts at times are benign ovarian masses, for example, a hemorrhagic ovarian cyst, which is the result of ovulation, at times they can be precursors of malignancy. The findings described should be discussed with a gynecologist. ...Read more

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Can i still get pregnanct with 2 ovarian/adnexal cysts? Left 2.0 CM with solid mural nodule. Right ovary 2.5 CM?

Iodine: The ovaries require iodine and you may be deficient in it. Try to find someone who does an iodine loading test. If you are low, taking a safe iodine/potassium iodide supplement may just take care of your cysts for you. ...Read more

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What is the treatment for a partial rupture of ovarian cyst without hemorrhagic component?

Observation: Ovarian cysts commonly rupture causing a sudden onset of pain but typically resolves on its own. If there is no bleeding and the cyst has ruptured try taking NSAIDs (ibuprofen, naproxen,etc) for the pain and discomfort. If you continue to have discomfort follow up with your GYN or family doctor is recommended. ...Read more

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Ovarian cyst(4-5cm)unilocular liquid with papillary component (2.8x1.4cm). 26yo, no family history of cancer. Waiting for markers. Odds of malignancy?

Ovarian cyst(4-5cm)unilocular liquid with papillary component (2.8x1.4cm). 26yo, no family history of cancer. Waiting for markers. Odds of malignancy?

Can not calculate: We can not calculate the odds of malignancy with this information. Based on your age and the size a malignant ovarian tumor is not particularly likely even with a complex ovarian cyst with papillary components. It sounds like your doctor is testing to help rule out malignancy which is good. Keep your follow up with your doctor. ...Read more

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Hello, I'm a 26 years old Italian girl diagnosed with an unilocular ovarian cyst occupying my right ovary, measuring 4.5x4.9cm, liquid-filled and with a papillary component (2.8x1.4cm, non vascular, resembling a septum though). Waiting for CA-125 and othe

Needs to be checked: Ovarian cysts are often benign. But if they keep getting larger or have a papillary component, then we get concerned and pursue it further to make sure that there is no Cancer(Ovary Cancer) hiding inside it.
CA 125, if elevated above 150-200(Normal is ...Read more

Malignant (Definition)

The term “malignant” is mainly used in the context of cancer, but can also be used to describe a condition that can be acutely damaging to the body, ...Read more


Dr. Howard Schneider
2 doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more