Am am 46 yrs old with a complex ovarian cyst. U/s in Jan was 2.2 X 1.5 X 2.0 cm with some diffuse internal echos, c/w hemorrhagic follicular cyst. No solid components or color flow. No free fluid. It has been aching intermittently and is bothersome. Repeat in 6 weeks was unchanged. Repeat in 8 more weeks (April) was 2.8cm X1.6 cm X 1.8 cm and conglomerate with low-level echos within the cysts and similar configuration to previous exam -- read as stable but lack of resolution so cystic tumor should be considered.
GYN said reports are not worrisome, but given age and complexity, recommended a laparoscopy and said if it looked benign, she'd remove fluid and dissect the wall (she felt then removal of the ovary would be overkill), but if worrisome, would remove the ovary. She also just ordered a CA125 knowing all the limitations.
My question(s): Is it safe to remove the fluid and dissect, knowing that some will get into the peritoneum? Is there a better approach? Am I better off having a gyn/onc do the lap? She said the malignant potential was 'low' (single digits). Is that accurate? And if it were malignant, likely early due to size etc. Is that true? (I was trying hard not to get anxious but the recent information is tipping me over the edge and wondering if I should have had the lap in February.) Any words of wisdom? Thanks.