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Re: 7 weeks pregnant and 8 cm Cyst - Quick reply Pl!

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 21 Feb 1999 20:05:11 -0600 (CST)

At Sun, 21 Feb 1999, Jagan wrote: >
>My cousin(age 26)complained of stomach bloated a bit and
>feeling heavy, thought of indigestion and she went to a
>general physician and got to know that she is 7 weeks
>pregnant. Then they went to a OBGYN yesterday for
>confirmation. This is her first pregnancy.
>They did an Ultrasound exam and found the fetus is in the
>right place in uterus, but she also has a 8 cm cyst in her
>ovary. The doc has scheduled another Ultrasound in the next
>week to determine whether it has grown or not. Meanwhile
>today she has developed a mild fever (99 to 100F). We do not
>know whether the fever is related to cyst or not. Also she
>is having nausea and vomiting in the last 3 or 4 days,
>which we attributed to pregnancy.
>
>Can the doc determine from Ultrasound as to what type of
>cyst? Or do they have to do diagnostic laproscopy to find
>out whether the cyst contains any solid growth etc.
>I would appreciate if anyone can explain how do they
>determine the contents of the cyst and make a decision
>to remove it.
>If they remove will the pregnancy survive since it will be
>only 8 or 9 weeks old.

An ultrasound can reveal characteristics of a mass which provides clues as to what kind of cyst it is, but cannot give an absolute diagnosis. If the cyst is simple, meaning it is filled with a clear fluid, then it most likely is benign; depending on size and whether or not is is causing symptoms such as pain, it may merely be observed. Ultraosund can alos determine whether a mass is partially cystic (fliud filled) and partially solid; while most often benign as well, these type of masses usually require surgical evaluation. This may be done via laparoscopy or thru an open incision -- size of the mass often determines route of surgery. THe cyst may be drained or, preferably, removed and this too can be done thru the laparoscope.

Ideally, surgery in pregnancy is done after 12 weeks. Surgery in the first trimester does not significanlty increase the risk of miscarriage if it must be done then. There is no increase in birth defects, either. 

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA


Replies are for educational purposes only and do not construe any doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.
Sorry, but personal e-mails will not be answered, due to time constraits and the desire to spend as much free time as possible with my husband and baby daughter



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