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Doctor insights on: Ovarian Dermoid Cyst And Endometriosis

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Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal

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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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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.

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How much does an 8 CM ovarian dermoid cyst weigh?

How much does an 8 CM ovarian dermoid cyst weigh?

Density matters: Dermoid cysts are made of multiple different tissue types and they're going to be all made up different densities where fat is light and smooth muscle is heavier, which means that depending on the makeup of your dermoid it will vary in weight. 8cm is fairly hefty. Good luck with your surgery. Don't wait; a cyst this large can twist and torse your ovary.

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How to deal with ovarian dermoid cyst post menopausal?

It depends: An ovarian dermoid is a benign neoplasm (tumor) that won't spread beyond the ovary, but may continue to grow. If imaging (ultrasound or mri) suggest a dermoid, management may depend on whether there are any symptoms, the size of the tumor, whether it is growing, and whether there is any suggestion that it might be a different type of tumor or cancer.

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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.

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What to do about reoccurring ovarian dermoid cyst (teratoma)?

What to do about reoccurring ovarian dermoid cyst (teratoma)?

Possible removal: Once an ovarian dermoid is removed, especially in the younger patient, follow up ultrasonography is required. The incidence of recurrent dermoid cysts in a pediatric and adolescent population following ovarian cystectomy is 10.6% where only 3% will recur and require further surgical management. Eventually all are cured

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What to do if I have a reoccurring ovarian dermoid cyst (teratoma)?

What to do if I have a reoccurring ovarian dermoid cyst (teratoma)?

Removal: You should have it removed by a qualified pelvic surgeon! Good luck and hope that it is benign!

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Had larposcopic surgery to remove ovarian dermoid cyst on 3/29 went back to work today is lifting heavy things ok or should I continue to hold off?

Had larposcopic surgery to remove ovarian dermoid cyst on 3/29 went back to work today is lifting heavy things ok or should I continue to hold off?

Hold off: You should limit heavy lifting until after you have had your post operative visit with your gynecologist. If you are healing well you will be released to full activity.

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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.

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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.

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Could the removal of my ovarian dermoid cyst make my weight or wasitline decrease?

Could the removal of my ovarian dermoid cyst make my weight or wasitline decrease?

Yes: Depends on how big the cyst is, you will find out after it has been removed, but you may need to go on a diet after that, it can make your waistline decrease but prob will not do much to decrease your weight, the best way to decrease weight is caloric restiction, after you have recovered from your surgery.

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I have a ovarian dermoid cyst. Can I get pregnant?

I have a ovarian dermoid cyst. Can I get pregnant?

Probably OK: Ovarian dermoid cysts are usually totally benign and asymptomatic. I would need more information relative to size and any symptoms, but a small, asymptomatic cyst would not normally interfere withy a normal pregnancy. You should obviously discuss this with a gynecologist who knows your case before becoming pregnant.

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What is the best treatment for ovarian dermoid cyst?

What is the best treatment for ovarian dermoid cyst?

Surgical removal: Ovarian dermoid cysts also called teratomas are removed surgically. Usually this can be done laparoscopically and is called an ovarian cystectomy.

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Can I donate blood if I have an ovarian dermoid cyst?

Can I donate blood if I have an ovarian dermoid cyst?

Yes: This cust should not affect your ability to donate blood.

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What can I do to ease my mind before having a ovarian dermoid cyst remove?

What can I do to ease my mind before having a ovarian dermoid cyst remove?

What worries you the: Most? Some worry that it might be cancer...It might, but unlikely; that surgery might be 1. Painful, debilitating, and that you might not wake up from anesthesia. Inventory your fears; discuss with your surgeon.

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When getting an MRI for a ovarian dermoid cyst, do you need any type of medication?

When getting an MRI for a ovarian dermoid cyst, do you need any type of medication?

No: You may be administered a small injection of MRI contrast during the exam but not necessarily.

Dr. Michael Traub
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Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...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