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Another ovarian cyst in pregnancy From: fuf@gulf.net Fri May 17 19:19:19 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Hellriegel, John: "25 weeks, transverse lie, prom > CS" Previous message: DR IRVIN J REINER: "HOSPITAL STAY" > >Re: Stewart Pringle's ovarian cyst, I would be tempted either to aspirate or do >nothing if the cyst really is simple without solid elements or significant >septae. The likelihood of malignancy is quite low, and the risk of >aspiration is >peritoneal effects of fluid from a cystadenoma (pseudomyxoma peritonei), but I >think that is a low risk. I came in late on this thread and I may have missed the answer, but I have a patient (18 y/o g1p0) at 17 week's with a simple cyst measuring 8x7x5 cm and has grown very slightly over the past month (7x6x4 then). The patient is minimally symptomatic (mild discomfort, and dyspareunia). The cyst has very low echogenicity and is very simple in structure. It can only be aspirated transvaginally as it is deep in the cul-de-sac and behind the cervix. My associate says to aspirate transvaginally, with antibiotics. I agreed, so we went to our infertility doc ( who has the equipment), who refused. Does anyone have any references or experiences with aspiration of simple cysts (in the 2nd trimester) transvaginally and potential complications, such as infection? Thanks, Gary Gary E. Kleinman, MD Perinatologist/Geneticist University of FL/Pensacola 5045 Carpenter Creek Drive Pensacola, FL 32503 904 484-9400 Next message: Hellriegel, John: "25 weeks, transverse lie, prom > CS" Previous message: DR IRVIN J REINER: "HOSPITAL STAY"

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