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Doctor insights on: Management Of Bilateral Ovarian Dermoid Cyst

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Treatment of hemorrhagic cyst ovary?

Treatment of hemorrhagic cyst ovary?

Time: While painful, these should resolve on their own within 1-2 cycles. The treatment is usually pain control--ibuprofen or tylenol (acetaminophen). If persistent or recurrent, sometimes control is obtained with an oral birth control. ...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 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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Likelihood of a ovarian dermoid cyst returning?

Likelihood of a ovarian dermoid cyst returning?

Very low: These are benign; if they are taken out by the laparoscope there's a few percent chance of their needing to be taken again by laparoscope; if laparotomy is performed, recurrence would be very unlikely, though it's a bigger and more difficult procedure for the patient. ...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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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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Ovarian cysts after treatment of ovarian cancer, help?

Ovarian cysts after treatment of ovarian cancer, help?

May be normal: Cysts are what ovaries make "for a living". An ovarian cyst, by itself, does indicated ovarian cancer. The reason for the cyst should be evaluated if it is persistent. Continued followup with the treating physician for ovarian cancer is indicated. ...Read more

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What treatment for painful post hysterectomy complex hemorrhagic bilateral ovarian cysts? Total of five cysts in right ovary & change in bowel habits

What treatment for painful post hysterectomy complex hemorrhagic bilateral ovarian cysts? Total  of five cysts in right ovary & change in bowel habits

Ovarian Cysts: Hemorrhagic ovarian cysts can develop after uterine removal, or they can represent foci of endometriosis or merely retained corpora lutein cysts that become necrotic and bleed into them. Either way, the cysts don't usually burst, but they should definitely be evaluated by your gynecologist immediately, because they can be serious or even be harboring an ovarian tumor. See your gynecologist soon. ...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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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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What causes an ovarian dermoid cyst?

What causes an ovarian dermoid cyst?

Embryonic cells: Ectodermal embryonic cells enclosed into the ovary at early formation "get activated" later in life producing dermoid cysts, that can contain hair and teeth when surgically removed and opened. ...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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Complex bilateral cysts on ovaries. Is this serious?

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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Multiple cysts from d1-d12, tarlov cysts, renal cysts one hemorragic, ovarian cysts...What can cause this?

Multiple cysts from d1-d12, tarlov cysts, renal cysts one hemorragic, ovarian cysts...What can cause this?

All different : Tarlov, renal and ovarian cysts are all different. None have any relationship with other. Each would require a visit to a different specialist for evaluation. ...Read more

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6 cm ovarian cyst. Hemorrhagic in appearance. History of severe endometriosis & endometriomas. Causing severe pain. Treatment recommendation?

6 cm ovarian cyst. Hemorrhagic in appearance. History of severe endometriosis & endometriomas. Causing severe pain. Treatment recommendation?

Options: You have a number of options. You can repeat the u/s in 3 months or so and see if it has gone away on its own. Hemorrhagic ovarian cysts frequently resolve spontaneously. If It is very painful, you could have a laparoscopy and removal of the cyst. With your history of severe endometriosis and endometriomas, its also possible that you would need an open procedure to remove the ovary. ...Read more

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I have polycystic ovarian syndrome. is a 2.8 cm cyst surgical?

I have polycystic ovarian syndrome. is a 2.8 cm cyst surgical?

Not always: If a 2.8 cm cyst is smooth and stable on repeat ultrasound exams and not causing any pain it does not always need to be removed. However, if causing pain or has suspicious findings or growing on ultrasound, then it should be removed. ...Read more

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Is mucinous cyst adenocarcinoma of ovary curable?

Is mucinous cyst adenocarcinoma of ovary curable?

Depends: It depends on the stage. Early stage is curable with either surgery alone- vs surgery plus adjuvant therapy/chemotherapy . Advanced disease with distant spread even is very treatable however unfortunately is incurable. Please discuss further with your oncology team. ...Read more

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What is a reoccurring ovarian dermoid cyst (teratoma) like?

What is a reoccurring ovarian dermoid cyst (teratoma) like?

Can vary: A recurrent ovarian dermoid cyst implies that you have had one removed in the past. Because of their contain hair, teeth and other structures, they don't usually go away like other benign cysts can. They can twist and cause severe pelvic pain. They can get quite large and put pressure on surrounding organs. If you are symptomatic, you should see your PCP or a gynecologist or surgeon. ...Read more

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27cm septated ovarian cyst in right ovary with possible endometrioma part to it and 4cm functional cyst in left ovary got some symptoms of ov/ca help?

27cm septated ovarian cyst in right ovary with possible endometrioma part to it and 4cm functional cyst in left ovary got some symptoms of ov/ca help?

More info needed: It would be helpful to know your age. A 27cm ovarian cyst has a low chance of being cancer in a young women in her 20s; however, in an women in her 60s it would be very worrisome for cancer. No matter what your age, you should have it surgically removed. You might consider seeing a Gyn Oncologist for this surgery as they are the most qualified to perform the surgery on ovarian cancers. ...Read more

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L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

 L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

Not necessarily: While cancer is a possibility it is not the most likely diagnosis. More testing such as doppler flow studies on ultrasound can help with the diagnosis. It may well require surgery to know for sure. Good luck. ...Read more

Dermoid Cyst (Definition)

It is a cystic type of teratoma that may contain developed skin with hair follicles, hair and sweat glands, sometimes some sebum, blood, fat, bone, nails, ...Read more