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Ovarian Cancer (Expert Forum)
any chance of larascopic procedure on 5in 10cm) cyst? Could part of the ovary possibly be preserved?
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center
Boston - MA
This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy,Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.
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any chance of larascopic procedure on 5in 10cm) cyst? Could part of the ovary possibly be preserved?
by cystowner, Jul 08, 2007 12:00AM
I have a history of small cysts and my ca125 results are 10. I believe my cancer risk is fairly low even though I am 43. I want to have this removed immediately. I have some odd pains that wake me up at night. It is not severe pain. I am also getting some back spasms which I think might be related. I would prefer to keep at least part of my ovary. Is that possible?
Also can something this large be removed lariscopically. I am afraid of having my ovary twist and don't want this to happen when I go to 3rd world countries for my job. What are you thoughts
Also can something this large be removed lariscopically. I am afraid of having my ovary twist and don't want this to happen when I go to 3rd world countries for my job. What are you thoughts
Doctor's Answer
by Annekathryn Goodman, M.D., Jul 09, 2007 12:00AM
, Jul 09, 2007 12:00AM
Hi there,
The short answer is yes and yes.
It all depends on what the cyst is. If it is a benign cystic tumor (serous or mucinous cystadenoma) or a dermoid or a cyst from endometriosis (endometrioma), it can be shelled out and the ovary preserved. You have to allow for the possibility that technically it is not possible to preserve the ovary. sometimes the cyst has completely replaced a normal ovary or there is trouble with bleeding because the cyst is attached to the deep blood supply of the ovary.
the decision to use small incisions with laparoscopy or make a larger one has to be left to the judgement of the surgeon. that will depend on how physical exam feels ie: is the cyst fixed and stuck or free and mobile. And at the time of laparoscopy, how does it look - are there adhesions, does it look suspicious for a malignancy.
these are good questions to review in detail with your surgeon and to include on the consent form for surgery.
I have had patients tell me that under no circumstances will they agree to the removal of their ovary. In that setting, if I look laparoscopically and feel that I cannot remove the cyst without removing the whole ovary, I will stop the surgery at that point.
That way, you have guided your surgeon so that they fully know your wishes
take care
The short answer is yes and yes.
It all depends on what the cyst is. If it is a benign cystic tumor (serous or mucinous cystadenoma) or a dermoid or a cyst from endometriosis (endometrioma), it can be shelled out and the ovary preserved. You have to allow for the possibility that technically it is not possible to preserve the ovary. sometimes the cyst has completely replaced a normal ovary or there is trouble with bleeding because the cyst is attached to the deep blood supply of the ovary.
the decision to use small incisions with laparoscopy or make a larger one has to be left to the judgement of the surgeon. that will depend on how physical exam feels ie: is the cyst fixed and stuck or free and mobile. And at the time of laparoscopy, how does it look - are there adhesions, does it look suspicious for a malignancy.
these are good questions to review in detail with your surgeon and to include on the consent form for surgery.
I have had patients tell me that under no circumstances will they agree to the removal of their ovary. In that setting, if I look laparoscopically and feel that I cannot remove the cyst without removing the whole ovary, I will stop the surgery at that point.
That way, you have guided your surgeon so that they fully know your wishes
take care
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