9cm Complex cyst with benign and malignant etiologies

[CincyCB]

Plz Help!! I am 34yrs old have severe pelvic pain, constipation, bloating for the past few months. Finally got so bad that I went to E.R. on 8-7-10 and they found a 9cm mass on my left ovary. Went to see my Gyno on 8-10-10 she sent me for an MRI which revealed the 9cm cyst that can be seen with benign and malignant etiologies with a few thickened septations.
my ca125 was 10, which my Dr. was "glad" of that and surprised that it was not higher. Here is where I'm concerned.....My Dr. DID NOT mention that the MRI found malignant etiologies, what exactly does "malignant etiologies" mean???
past histoty....four children, one c -section w/ complications, hysterectomy w/complications in 2008(kept both ovaries) reason for hysterectomy was heavy bleeding and periods for 3 weeks at a time or 2x a month heavy. I had became a severe anemia.
I am scheduled for surgery on 9-23-10, HOWEVER I am know worried b/c my Dr. did not even look at the MRI images nor did she give me ALL the findings. I went and got the report myself b/c I wanted clarification.

What does all this mean?? is there reason NOT to be concerned with the malignant etiologies present?? Im so confused right now!!
I have no history of ovarian cancer in my family. My dad just was diagnosed w/ prostate cancer and had surgery in jan of this yr and he is doing GREAT!

[Londres70]

I hope everything clears negative for Von Willebrand disease.  

Smart to get a second opinion from the GYN-ONC; Smart cookie :)  You did your homework well.  

I am seeing two physicians in relation to my abnormal MRI and symptoms and have dumped the physician who did not inform me of all the abnormal findings in the first place.  He just was not giving me answers and taking my money.  I found him to not a "clue" about much of anything.  What a waste of time.  :(

Good luck with everything and keep us posted.  Hang in there.  

[CincyCB]

Hi Londres70,

The surgery is intended to be laproscopic, but there is a 50/50 change I will have to be cut again along my c sec and hysterectomy line AGAIN due the size of cyst and what may be seen once inside and due to the fact that I bleed out during my c sec in 03 and my hyst in 08. I am currently being tested for Von Willabrands disease due to my daughter also having bleeding issues and my mom recently.

You are SO RIGHT! My gut told me to get a copy of the MRI myself and Im glad I did b/c they also found that I have a degenerative disc in my back....UGHHH just one thing after the next!
anyway...I am going to see a gyno oncologist for a 2nd opinion prior to surgery. Based on what I have researched its a good idea to have on on stand by "just in case" I am so praying for all benign results, but I have learned to pray for best, but prepare for worst always.

How are things with your spine? Hope all is WELL FOR YOU NOW! :)

[Londres70]

I am not exactly sure why ALL the results of the MRI were not discussed in detail with you.  I had the same thing happen to me; this was an MRI of my cervical spine, I finally got the report in my hand, read it and was not very happy I was not informed about the ALL the abnormal findings in the report.  Always ask for a copy of your reports is what I recommend.  

Sorry, back to your question.  Are you getting laparoscopic surgery on the 23rd?  Pathology needs to confirm if there is or isn't a malignancy going on via biopsy of this cyst; this cyst is a good size.  "Malignant etiologies" means malignant causes/diseases.