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Dermoid Cysts
Hi,
My wife just underwent a laproscopic surgery to get a dermoid cyst removed. We just came across this by accident when we were going for a check up to her gynaec. The uterus seemed bulky and we were advised for an ultrasound. That revealed dermoid cyst on the right ovary. The op went off fine as per the doc. My wife is recovering fine and is on her way to being 'clinically fit'.However one thing that is worrying me is that we were told that while removing the cyst there should be no spillage. And if there is, chances are that the tissues might become cancerous. In our case, there indeed was a spillage and the surgeon told that he had to clear a lot of muck and that everything is fine. I would be grateful if i could get clarity on this spillage implication.
My wife just underwent a laproscopic surgery to get a dermoid cyst removed. We just came across this by accident when we were going for a check up to her gynaec. The uterus seemed bulky and we were advised for an ultrasound. That revealed dermoid cyst on the right ovary. The op went off fine as per the doc. My wife is recovering fine and is on her way to being 'clinically fit'.However one thing that is worrying me is that we were told that while removing the cyst there should be no spillage. And if there is, chances are that the tissues might become cancerous. In our case, there indeed was a spillage and the surgeon told that he had to clear a lot of muck and that everything is fine. I would be grateful if i could get clarity on this spillage implication.
First I have to say how nice of you to take such an intrest in your wife to be here on her behalf. I am glad to hear she is doing well.
From my information and having laparoscopic surgery 2 weeks ago, the ladies here are right if you have read some of the posts. The cancer cannot be determined till a biopsy is sent to pathology during surgery. It is at that time the doctor finds out if the cyst is cancercous. If it were and the tissues might become cancerous I'm sure the doctor would have spoken to you about it during surgery and recomended removing the overy and other parts as well. I wouldn't worry too much at this point, just focus on the recovery part. I would ask for more information during your post surgery appointment with your doctor. They will usually discuss in further detail at that time.
For all you ladies reading this and worried about the size of your cyst, surgery, and rupture. Mine was 9cm, liquid. The doctor was still able to do it laproscopic. I had it and it was monitored for a year before deciding to remove it. The doctors were not in a huge rush to do surgery due to the fact that it was liquid and my age. When it was removed the doctor discovered it was mucus filled.
For anyone worried about finding a qualified doctor in your area. My regular gyn/ocon did not take my insurance. So I spend several days on the computer and phone contacting every major cancer center in my area. I was able to find a doctor that does noting but these surgeries and work with many cancer patients, even thought my cyst was benign.
GOOD LUCK AND PRAYERS TO ALL!
From my information and having laparoscopic surgery 2 weeks ago, the ladies here are right if you have read some of the posts. The cancer cannot be determined till a biopsy is sent to pathology during surgery. It is at that time the doctor finds out if the cyst is cancercous. If it were and the tissues might become cancerous I'm sure the doctor would have spoken to you about it during surgery and recomended removing the overy and other parts as well. I wouldn't worry too much at this point, just focus on the recovery part. I would ask for more information during your post surgery appointment with your doctor. They will usually discuss in further detail at that time.
For all you ladies reading this and worried about the size of your cyst, surgery, and rupture. Mine was 9cm, liquid. The doctor was still able to do it laproscopic. I had it and it was monitored for a year before deciding to remove it. The doctors were not in a huge rush to do surgery due to the fact that it was liquid and my age. When it was removed the doctor discovered it was mucus filled.
For anyone worried about finding a qualified doctor in your area. My regular gyn/ocon did not take my insurance. So I spend several days on the computer and phone contacting every major cancer center in my area. I was able to find a doctor that does noting but these surgeries and work with many cancer patients, even thought my cyst was benign.
GOOD LUCK AND PRAYERS TO ALL!
Hmmm.....I would be concerned too. There was spillage in my case...that put me at stage IC rather than satge IA.....mine was malignant but not spread other than to the peritoneal wash....still...I would want this to be addressed. If there is a chance it could cause a malignant situation in the future I would want to know if there is anything I could do to prevent it from happening in the here and now. About all you can do right now is get a clarification of the situation. You know, my experiences show that some docs don't really want to put all the info out there so they skim across the details, then if something does occur, they can honestly say "I told you about this"......you and your wife need to get clarification....hold their feet to the fire! My surgeon felt badly when he nicked the tumor....oh well.....I am still the one dealing with it. Sit down face to face...tell him what you remember him saying to you....then, insist he clarify the situation until it is clearly understood by all. Don't give him any wiggle room....this is your family's future here......you guys deserve the truth. Good luck and plelase do return with your info and results....I am curious and look forward to hearing .....
Peace.
dian
Peace.
dian
Well, we had the first appointment with the doctor after one week the surgery was done. I did some reading on the net and came across a wonderful article: http://www.bioline.org.br/request?mf04009
The implication of spillage is that it could lead to a situation called chemical peritonitis. This means that there could be an infection in the peritoneum wall (this is the wall which covers the belly). Apart from the fact that the cyst has to be sent for biopsy, the actual implication of spillage could only be thus. When I enquired about this to the doctor he assured me that they had done jet cleaning which is the recommended solution for this. The doctor also mentioned that he kept back my wife at the hospital for more than 48 hours to see if there was any reaction that could arise because of this. The best thing i can do is trust the doctor and be content with it.
The implication of spillage is that it could lead to a situation called chemical peritonitis. This means that there could be an infection in the peritoneum wall (this is the wall which covers the belly). Apart from the fact that the cyst has to be sent for biopsy, the actual implication of spillage could only be thus. When I enquired about this to the doctor he assured me that they had done jet cleaning which is the recommended solution for this. The doctor also mentioned that he kept back my wife at the hospital for more than 48 hours to see if there was any reaction that could arise because of this. The best thing i can do is trust the doctor and be content with it.
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