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Ovarian Cancer (Expert Forum)
Complex Cyst Question
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center
Boston - MA
Complex Cyst Question
by memyselfandI, Aug 23, 2006 12:00AM
I was told I have a complex cyst on my right ovary approx 3 by 4 cm. A few years ago my left ovary and uterus was removed due to a benign cyst. My next appt. isn't until the end of Sept. Is this too long of a wait since there is a chance it is cancer? I am 40 years old. What is the proper procedure for one this size? Will they watch it a while and put me on BC to see what it does or will they go in right away and take it out. If so what kind of surgery can I expect. I just want to make sure my doc isn't just ignoring the situation.
Thank you
Thank you
Doctor's Answer
by Annekathryn Goodman, M.D., Aug 24, 2006 12:00AM
, Aug 24, 2006 12:00AM
Hi There,
There are many reasons for a cyst on your ovary. The standard first approach for a 3 by 4 cm cyst is to repeat the ultrasound in 2 to 3 months. If it is persistent but not changing in size, it could be watched, if it is gone, then it was a functional cyst (please see my previous comments about different kinds of ovarian cysts). If you are having pain from a persistent ovarian cyst or it is growing, that is a reason to consider removing it.
Usually at age 40, one worries about the risk of blood clots on the birth control pill so that is not a standard practice. It is unlikely to be cancer. I think end of September sounds like a reasonable follow up.
best wishes to you
There are many reasons for a cyst on your ovary. The standard first approach for a 3 by 4 cm cyst is to repeat the ultrasound in 2 to 3 months. If it is persistent but not changing in size, it could be watched, if it is gone, then it was a functional cyst (please see my previous comments about different kinds of ovarian cysts). If you are having pain from a persistent ovarian cyst or it is growing, that is a reason to consider removing it.
Usually at age 40, one worries about the risk of blood clots on the birth control pill so that is not a standard practice. It is unlikely to be cancer. I think end of September sounds like a reasonable follow up.
best wishes to you
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