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Re: dermoid cystFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue May 6 19:18:23 2003
At Mon, 5 May 2003, david salama wrote: > >I'm a med student with a patient not sure what to do with - she is a 25 >y/o healthy female who had a ruptured cyst 2 years ago, a TV-US revealed >another, bigger cyst on the left ovary. At the time she was on OCP's >which she was told to stay on. A repeat TV-US every 6 months showed the >same cyst and same size. One radiologist reported it being 40% >solid/60% cystic, but the last one just said a 3.7cm x 2.5cm >non-functional cyst that appears multilobulated. We are currently >thinking that it is a dermoid cyst. > >The patient is wary about surgery because of the risk of having to go >open and about adhesions preventing future pregnancy. Can anyone >comment about what they would do in this case - would they wait yet >another 6 months and keep repeating the TV-US or would they just bite >the bullet and go for the cystectomy? > >Any advice would be most appreciated. Stop doing ultrasounds,anyone who tells you they can tell the difference between a 3.7 cm X2.5 cm functional or non-functional cyst is lying. If you remove this cyst there is a high probibilty another will reccur, so stop doing ultrasounds.
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Take care, John
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