Do ovarian cysts always lead to ovarian cancer?

Most cysts benign. The majority of ovarian cysts, often related to the follicle, where the egg is stored, are benign. Ovarian cysts are very rarely malignant. However, any discovered ovarian cyst should be closely evaluated.
No. Ovarian cysts are common in premenopausal women and most are not cancer, nor premalignant. They do need to be diagnosed appropriately and followed carefully by your physician.
Thankfully. No. There are many ovarian cysts, and few ovarian cancers.