Biopsy for complex ovarian cyst?

My OBGYN is recommending that I have laparoscopic surgery for complex, thick walled ovarian cysts (2 cysts being approximately 3 cm each) in 2 weeks.  I would appreciate anyone's input. Here's my story:

*Rt. ovary/fallopian tube removed 13 months ago; diagnosed with hemorrhagic cyst; endometriosis; serosal adhesions.

Current infomation  was gathered from 2 ultrasounds, a CT scan and a MRI. Information includes:
* Aug. 23 Ultrasound revealed 2 cysts measuring 2.9 and 2.8 cm with one cyst having low level internal echoes; Impression: hemorrhagic cyst
* Aug. 27 CT scan revealed 2 slightly thick-walled cysts measuring 5.0 and 3.8 cm with dependent hemorrhagic content; mild to moderate hydrosalpinx; endometriosis along sigmoid colon; no significant volume of pelvic free fluid; Impression: endometriosis with left ovarian endometriomas
* 9/9 MRI pelvis revealed free fluid in pelvis and complex, moderately thickened walls cysts; “dialated tubular structure measuring 4.6 cm” possible hydrosalpinx; Impression: hemorrhagic cyst

CA 125 : 70
diagnosed as "slightly anemic"

I'm down to 'one set of parts' since my right ovary/fallopian tube was removed 13 months ago. So, would anyone be able to offer what information here makes my OBGYN want to do a biopsy. I do have pain and a "full feeling" in my pelvis. Thanks for anything you can offer. Just trying to think it all through.

[Annekathryn Goodman, M.D.]

Hi There,
thank you for your question. I cannot disagree with Ichoosejoy.

The reassuring part is that one year ago there was no sign of cancer and you had a diagnosis , endometriosis, that can affect the other ovary and cause cysts.

the concerning part is that the cysts seem to be changing.But you have had 3 different types of scans and the sizes may not directly correlate.
The CA 125 of 70 can definitely be from endometriosis.is this your first level?  If it has been a month since your last blood test, repeating it and making sure it has not gone up is helpful.

please let us know what happens
best wishes

[Ichoosejoy]

**If** they are doing a biopsy to rule out cancer, then a biopsy is the worog way to go...becuase you risk rupturing the cyst and spreading the cancer.  You should go to an gyn/onc for a second opinion before you let anyone near that cyst.  It could mean the difference of many years of life, if it would end up being cancer.  One of the greatest things having to do with good outcomes is having a gyn/onc do your surgery.

I know of wayyyyy too many stories of women who allowed their gyn to to their surgery amd ended up having a ruptured cancerous tumor....myself included.

You are wise to seek out more information.  You have nothng to lose by getting a second opinion, only a bit of cash...which when you compar that to *life*...you have only to gain by seeking another opinion.