Re: complex ovarian cyst
From: Not David Medical Student (anonymous@medispecialty.com)
Tue Feb 11 17:51:36 2003
At Tue, 11 Feb 2003, Efrain Ramirez wrote:
>
You guys have been had, this was posted by Rachel on the Women's forum
At Mon, 10 Feb 2003, Rachel wrote: >
>I am a 25 y/o G-0 P-0 woman - My doctor and I have been following a
>left-ovarian cyst of mine progress from a 3.5 simple cyst a year and a
>half ago to a now 4.5 cm complex ovarian cyst that is 60% solid and 40%
>cystic. In addition the left ovary is increased in size. (What led me
>to seek attention was a ruptured cyst 2 years ago)
>
>During this entire time (and prior to it) I have been on Birth-Control
>pills. My doctor feels that I need to have surgery now to remove the
>cyst, and possibly even the entire ovary! I am concerned about a few
>things:
>
>What are the chances that it is cancerous?
>Does a laparscopic cystectomy cause uterine adhesions?
>Can lancing the unknown (bengn vs. malignant cyst) via laprascope cause
>cancer cells to spill out into the pelvic area? and if so - should I
>have a laparatomy?
>
>Please help - I am obviously very distressed about this, my doctors have
>scared me into fearing the worst!
>
>thank you,
>Rachel
>>At Tue, 11 Feb 2003, David, Med Student wrote:
>>>
>>>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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