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Ovarian Cancer  (Expert Forum)
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complex ovarian cyst bloating, pain
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center Boston - MA
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This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy,Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.

complex ovarian cyst bloating, pain

by lhamilton, Jul 03, 2006 12:00AM
Hi I have been having lower left pain in abdomin (abdomen) that started after having extreme bloating, gas , lower back pain. stomach is getting bigger but weight went down by 6 pounds.  I finally went to the doctor thing bowel problem and they did a us and then said i needed an mri, mri showed complex bilobed with thick walls and hemerrihagic as well.  I am seeing the surgeon hopefully today ended in er for pain and bleeding yesterday. i am concerned i also have a simple 6cm cyst on right ovary that i have had for two years the complex is 3cm on left ovary, is there need for concern i am nervous had stage 5 carcinoma in situ of the cervix 12 years ago and had leep surgery been ok since then. the symptoms have me concerned dull to strong pain lower left, abdominal swelling with full feeling lots of gas and gurgling in abdomin (abdomen). lower back pain like in a cycle sometimes goes down left leg.
lhamilton

by Annekathryn Goodman, M.D., Jul 04, 2006 12:00AM
Hi LHamilton,
It sounds like you are getting a good evaluation by your doctor. Ultimately, one does not know what kind of cyst it is until it is removed surgically. There are definately some cysts that are related to the menstrual cycle. These come and go with ovulation. Cysts that do not go away and are bigger than 4 to 5 cms probably should be evaluated and removed by laparoscopy.

Of course it must be concerning to you. There are many reasons for abdominal discomfort or pain. These include size of the cyst pushing on other structures, twisting of the cyst, the cyst leaking some fluid into the abdomen that causes irritation. Pain in and of itself is not predictive of a cyst being a malignancy. Please let me know what happens.
Take care.
Member Comments (11)

by lhamilton, Jul 05, 2006 12:00AM
I had to go to the er for exreme pain and bleeding. then I saw the doctor July 3rd. I was told she beleives it is either an endrometrioma or hemerragic cyst. Was told either to wait and see or have the surgery do to the pain and the fact that my cycles are now spread 2 months apart. I confused as to just go for the lap surgury and get it over and have it checked for sure or wait and if it is still there in two weeks will automatically go for surgery. Any one have the surgery when it was your choice.
lhamilton

by cville, Jul 05, 2006 12:00AM
had a complete hesterectomy now one hosp said I have an ovary, and the others cyst and lymphnodes. I'm confused and would like to know how I can get a cyst without having ovaries?  And why does it seem like the doctors are trying to cover up things from me?  I was told if I got a complete hsterectomy I would have no more female problems, now a year later here is problems. Please tell me what my next step should be?

by akg, Jul 05, 2006 12:00AM
Dear LHamilton,
It sounds with your pain, it may be reasonable to take a look inside with a laparoscopy. That is the surgery that uses the same incison through your belly button. It is a day surgery procedure and will give you a definite diagnosis.
best wishes akg

Dear CVille,
It sounds like you need to find a gynecologist that you like and trust. That person can then sit down with you and review all the x-rays you have had and look at the operative note from your surgery. Sometimes it takes putting all the pieces together to understand what is going on - especially if you have had your care at more than one hospital.
Good luck!
akg

by lhamilton, Jul 06, 2006 12:00AM
Thank you, I decided to go for the surgery I am tired of the pain everyday. I am nervous do not like going under anesthesia. the surgery is tomorrow (Friday). I will let you know how it went and what was found.
lhamilton

by akg, Jul 06, 2006 12:00AM
good luck!! Thanks for keeping me posted

by lhamilton, Jul 07, 2006 12:00AM
Thank you,
I had a consult with the surgeon and he stated that with the complexity and how did he put it oh yea impressive nature, that I will probably loose my left ovary and maybe the right one as well and I said ok if he needs to (having no more children one is 18 and the other 13) and said possibly a hystorectomey at a later date.I am extremely nervous. Going at noon will keep you posted.
Lhamilton

by lhamilton, Jul 07, 2006 12:00AM
Thank you,
I had a consult with the surgeon and he stated that with the complexity and how did he put it oh yea impressive nature, that I will probably loose my left ovary and maybe the right one as well and I said ok if he needs to (having no more children one is 18 and the other 13) and said possibly a hystorectomey at a later date.I am extremely nervous. Going at noon will keep you posted.
Lhamilton

by akg, Jul 08, 2006 12:00AM
Hi LHamilton,
How did your surgery go?
best wishes.

by lhamilton, Jul 09, 2006 12:00AM
Hi,
The surgery went well, the surgeon said that he did have to remove the left ovary and fallopian tube.  The cyst was a corpus letum with hemmerhagic (internal bleeding) a lot of scar tissue behind the ovary, which he feels was causeing all of my pain he also removed the 6cm simple cyst I had on the right ovary. If any knows how long does the pain last it is a killer getting up and even walking I feel as though my insides are going to fall out. Also how long does the sore throat last, I also developed a tight chest cough the night of the surgery and it is very painful when I cough. Any similar experiences please share
Best,
lhamilton

by lhamilton, Jul 09, 2006 12:00AM
I have a question, is ankle swelling normal after a lap surgery
and the belly button incision is more sore than the others and is getting a little pink and hard but no discharge is this a concern or normal
Thanks
lhamilton
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