complex cyst that shrink than come back

[worriedtr]

on 3/06 ultrasound showed a 12cm complex cyst highly suspicious of cancer surgery was schedule.than postpone due that a repeat ultrasound reveal complex cyst had gotten smaller 2.8 cm the cancer dr said cancer dont shrink and referred me back to my dr.6 months later large cyst is back 8 cm complex cyst thick septation and solid componet is still suspicios for malignancy now back to the oncologist im scared and dont know what to think can cancer shrink and come back .

[worriedtr]

THANK YOU DOCTOR I DO APPRECIATE YOUR RESPONSE IT HELP ME RELIEVE SOME OF MY ANXIETY,FEAR,AND QUESTION THAT I WAS UNSURE ABOUT,THANKYOU

[akg]

Hi There,
It is not common practice to biopsy an ovarian cyst without surgery. The risk is that is there are cancer cells inside a cyst, these cells could spread by rupturing the cyst during the biopsy. Therefore , the present standard of care is to remove the cyst of ovarian and try not to rupture the cyst. This is done in a safe, well controlled operative setting by either a small incision (laparoscopy ) or a bigger inside (laparotomy).
best wishes

[akg]

Hi There,
It is not common practice to biopsy an ovarian cyst without surgery. The risk is that is there are cancer cells inside a cyst, these cells could spread by rupturing the cyst during the biopsy. Therefore , the present standard of care is to remove the cyst of ovarian and try not to rupture the cyst. This is done in a safe, well controlled operative setting by either a small incision (laparoscopy ) or a bigger inside (laparotomy).
best wishes

[worriedtr]

hello DR. ca125 was a 10 no family history ovarian cancer.I go to see oncologist soon, I will ask for it to be taken out but i will like a biopsy done first.than maybe laproscopy surgery.I heard they have a new procedure now to remove any type of tumor with out being put asleep.I heard this is being done at ST FRANCIS HOSPITAL in CT, do they have this procedure also in MASSACHUSETTS.thx again DR.to responding to my ?.

[Annekathryn Goodman, M.D.]

Hi There,
You ave some sort of growth on your ovary. It is possible that there is more than one cyst in your ovary. Perhaps part of the cyst was a functional cyst. Functional cysts are cysts in the ovary that are related to ovulation. They shrink and resolve. It is possible that part of the cyst that is seen in your ovary is not a functional cyst.
I definitely think the cyst should be removed. I am sure this is very scary for you. Do you have any other information such as a CA 125 blood test result? How old are you? Is there any family history of ovarian cancer?
take care