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Doctor insights on: Toc Ovarian Complex

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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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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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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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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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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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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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Can complex ovarian cysts cause polycystic ovarian disease?

Can complex ovarian cysts cause polycystic ovarian disease?

No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...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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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

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Do all ovarian complex cysts require surgery?

Do all  ovarian complex cysts require surgery?

No: Depending on your age and the "complexity" of the cyst as well as cyst size, some of these can be managed with serial u/s.. The technology of vaginal u/s with color flow doppler and 4d imaging has made diagnosis of ovarian cancers a little more predictable but has also given us the ability to over diagnose normal ovarian changes related to menstual cycles. Good question..Listen to your doc here. ...Read more

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What are complex breast cysts?

What are complex breast cysts?

Fibrocystic changes: Please see other posts on fibrocystic breasts for basic info. A complex cyst is a cyst with debris (nothing bad) that can sometimes look like a solid nodule. Usually the radiologist will recommend a 3 or 6 month repeat film to be sure it is not anything concerning. ...Read more

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Overian complex adnexal mass women under 40 are risk for overian cancer?

Overian complex adnexal mass women under 40 are risk for overian cancer?

Possible: All complex adnexal masses are a theoretical risk for ovarian cancers, but there are many other possibilities too. Risk is estimated by size, apearance on ultrasound, age group, behavior over time, and other things. ...Read more

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Complex left ovarian cyst what is that 6.4 x6.2?

Complex left ovarian cyst what is that 6.4 x6.2?

Ovarian cyst: complex means either it has walls (septations) or has both cystic and solid components. At over 6 cm in size your cyst is at risk of causing twisting of the entire ovary causing torsion (cutting off the blood supply). Usually at 6cm it needs to be addressed likely surgically. Complex cysts also mean slightly more likely to be tumors (benign and cancerous) are usually complex or hemorrhagic ...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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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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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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Help please! could complex ovarian cyst dissolve?

Help please! could complex ovarian cyst dissolve?

Ovarian cyst: They can, but the doctor must find out why you have a complex cyst and rule out any serious pathology. Depending on the cyst characteristic your doctor can do expectant management or can offer surgery. Depends on the ultrasound, your age, family hx, time with cyst etc. ...Read more

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37 yr old. personal hx of invasive ducal carcinoma stage 1. L ovary 6.8 cm hemorrhagic cyst, R ovary-2 cm complex cyst. Should I be concerned?

37 yr old. personal hx of invasive ducal carcinoma stage 1. L ovary 6.8 cm hemorrhagic cyst, R ovary-2 cm complex cyst. Should I be concerned?

BRCA?: Ovarian cancer is associated with breast cancer, so having the US exam is prudent screening. The nature of the cysts is the best guide, but not perfect. Best here to follow the recommendations of your doctor and the person interpreting the full images. Knowing your BRCA status might also help with the decision about early removal. ...Read more