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Re: non malignant ovarian cyst From: Bernard Cristalli (bcrist@club-internet.fr) Wed Oct 29 15:38:20 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Roberta Speyer: "Re: Well Said Philip! (was Humor)" Previous message: Bernard Cristalli: "Re: flagyl-resistant trich" What else could I say? That after 12 weeks a laparoscopic cystectomy is possible. -- Marco A. Pelosi, III, MD wrote: > > > I have a non malignant ovarian cyst. I have had two c-sections > > (2 children) and am 9 weeks pregnant. My doctor suggests an abortion > > as there is risk of arupture as the wall has weakened around the > > tumor with each child - there is a risk of loosing the baby and risk to myself. Is > > there anything possible to reduce the risk and see the pregnancy to full term? > > With the exception of functional cysts which shrink away over a couple > of months, the only true nonmalignant cysts which fail to shrink away > are those which sit in a jar in the pathology lab. There is no means at > present to determine with total accuracy whether a cyst is benign or > malignant without removing it. Ultrasound, doppler, tumor markers and > the like, can all appear normal in the face of malignancy in its early > stages. > > The most common cyst in early pregnancy is the corpus luteum. Its > supposed to be there, but occasionally it grows quite large for various > reasons. Remove it in the first 10 weeks and you'll likely induce a > miscarriage. > > Very large cysts, corpus luteum or not, can rupture or induce adnexal > torsion. Some cysts enlarge, others shrink and others stay the same > size. > > An abortion carries a higher risk of pregnancy loss than does cyst > rupture, adnexal torsion or surgical removal of the cyst. However, an > abortion alone does nothing for the cyst - its still there with all of > its uncertainties! > > M.A. Pelosi, III, MD -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Roberta Speyer: "Re: Well Said Philip! (was Humor)" Previous message: Bernard Cristalli: "Re: flagyl-resistant trich"

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