complex cyst 11cm surgery in a week Scared

[4times4surgery]

Hi there I am 42 and had thyroid and partial hysterectomy removal surgery in last 2 years I recently became very ill..vomiting nausea bloating weight loss of 9 kg's in just 3 weeks. I am having surgery I  1.5 weeks time and the cyst and left ovary will be removed....gyne said not cancer he believes after viewing  CT. Ca125 level was 22.....elevated protein and  inflammation and also appear high .......and bowel bleeding with an area of degregated blood flow to a portion.   of bowel which may be caused by cyst......my question can a gyn tell for sure its not cancer just  y the blood tezt and CT.......many thanks in advance.  

[HVAC]

I had the full hysterectomy and have not had bad problems. I had a cyst on the bowel so I threw up all the time. Now I don't throw up.


Alex

[4times4surgery]

Thank you I feel more reassured role on surgery and begone lumpy tummy :)

[old_before_my_time]

The CA-125 test is not accurate at diagnosing ovarian cancer. Elevated inflammation markers are common with many benign conditions so it isn't that relevant either. I cannot comment on the elevated protein.

A CT scan can get a pretty detailed look at ovarian cysts so your doctor saying it is not cancer has a fairly high degree of accuracy. Some traits they use to gauge malignancy potential are thickness of the walls, number of septations, papillary projections, solid matter versus fluid, pelvic ascites. Of course, the tissue will still need to be biopsied to be sure.

MOST ovarian cysts, including complex ones, are benign. A woman without a genetic predisposition for ovarian cancer has less than a 2% risk of getting OC (U.S. government statistics say 1.4%).

Your "bowel bleeding with an area of degregated blood flow to a portion of bowel" could be unrelated to the cyst and could be the cause of your symptoms, or at least a contributing factor. Hysterectomy alters the position of the bowels which can cause problems including altering blood flow to bowel sections even leading to tissue death. Another fairly common problem is adhesions from the surgery that can cause partial or full bowel obstruction. And even without obstruction, many women suffer from constipation after hysterectomy. My bowels have been "a mess" since my hysterectomy 8 years ago.

With this cyst being so large (I had a 9.5cm complex cyst), you do not have the luxury of monitoring it to see if it resolves on its own (some complex cysts do resolve on their own). But since the ovaries produce hormones into a woman's 80's for optimal health and well-being, it is best to keep both ovaries if at all possible. There are surgeons who are skilled in doing cystectomies (cyst removals) that would give you the best possible chance of keeping your ovary. I had all my organs needlessly removed even though the frozen section done while I was under anesthesia was benign. I wish I had done things very differently so that I would still have my vital organs.

Hope this helps!