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complex ovarian cystFrom: David, Med Student (dsalama@pipeline.une.edu)Tue Feb 11 08:49:47 2003
I have a patient that I am following and wondering how to go about explaining to her what needs to be done without scaring her. She is a 25 y/o G-0 P-0 woman with a complex ovarian cyst (60% solid, 40% cystic) that is 4.5 cm in her left ovary which is also enlarged (mostly from the cyst). The cyst originated as a simple cyst a year and half ago, looking at her old records and had measured 3.2 cm then. (A ruptured cyst in the same ovary at that time is what brought her and allowed for discovery of the current problem). Ca-125 was not done, as the utility is not great from what i've read. She obviously needs some kind of surgery, what are the benefits of scope vs. laparotomy in this case? I've been reading a lot, but the size of her cyst fits into a "gray" area in the texts and journals i've been reading. I'm suspecting a dermoid cyst - any other possiblities? How to go about explainign without scaring her too much? thanks, David MSIII UNECOM
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