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right ovarian complex cystic lesion

I was just diagnosed with a right ovarian complex cystic lesion through an ultrasound for liver cysts that I have. They just found this. I had a partial hysterectomy two years ago. I am 46 years old. I have an appt with my gyn on Thursday, 4/24.  Any help would be appreciated. I told my gyn two years ago to take out everything so i have no more problems and now I have this.

Thank you. Barbara
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Thank you Chris for your kind and insightful words. I feel much better knowing more.
Barbara
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360216 tn?1218743000
Barbara,
I am sorry that you're having to deal with this now.  Try and remember that most ovarian cysts are benign - something like 90%+.  You are doing the right thing in seeing your gyn.  I would suggest you make a list of questions to ask.  Has he/she done a CA125 test? How large is the cyst?  What does he/she recommend and why?

If there is any thought that it might be malignant based on a variety of factors (CA125, cell shape, etc) then please ask to be referred to a gyn/oncologist.  You do not want your gyn doing any surgery if cancer is even a remote possibility.  A gyn/onc is trained in gyn/reproductive cancer and if it's needed, can stage you at the time of surgery as well as do biopsies and pelvic washes, saving a lot of time and worry.  Hopefully you are fine, but you want to give yourself the best possible care until you know for sure.  I learned that the hard way and don't want anyone else to have to go through a second surgery like I did.  

I found this explanation of a complex cyst on the internet which I found easier to understand, so I hope it helps:
Sometimes cysts are complex, either containing partly fluid elements and partly solid elements or having septations (walls) within a fluid-filled cyst. In general, complex cysts are evaluated further, as some complex cysts may be cancerous. Your age and symptoms must be taken into account. Depending on exactly how the cyst looks on ultrasound, your doctor may recommend blood work, a CT or MRI scan to get a better look at the cyst, or even surgery to remove the cyst.

Best wishes and let us know how it goes.  ChrisP
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