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13 year old and large ovarian cyst
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13 year old and large ovarian cyst

I'm a worried mom of a 13 year old girl.  We've recently discovered that she has multiple cysts on her right ovary.  After seeing our General Physician, we were referred to an OBGYN specialist, where she had an ultrasound.  They said that the main concern is the largest cyst is 7 cm.  / Apparently, this size is consistent with malignancy, BUT it appeared to be fluid filled, or simple follicular.  I really got mixed signals.  They want to wait 4 weeks to do a follow up ultrasound, rather than drain it and risk injury to the ovary and/or tubes.  Her pain has improved, but she is uncomfortable in the mornings and off-and-on throughout the day.  I HATE waiting 4 weeks.  Should I be doing something else?
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Avatar_n_tn
If you are truly uncomfortable with the doctor's decision to wait, then you can always seek a second opinion.  However, I suspect another doctor will tell you the same thing.  Cysts can be normal or "functional" but  still be quite large large.  It is still possible for the cyst to resolve naturally, and the doctors hesitate to put a woman through surgery if the cyst can resolve without intervention.  Often doctors prescribe birth control pills to alter hormone production in an effort to aid the resolution of the cyst.

Cysts by definition tend not to be cancerous. And while cysts containing solid components and septations are 'more often' malignant,  statistically speaking only 1 to 2 percent of cysts are found to be malignant.   By the way, I had a large, grapefruit-sized endometrioma (cyst) that contained solid components as well as septations.  When it was removed last year it was found to be benign despite the fact that it had so many factors that indicated a possible malignancy.
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Avatar_n_tn
Thanks for your response.  Since they did put a name on it, 'follicular', I know I'm overly anxious about the outcome.
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Avatar_f_tn
You can read my post about my 11 yr old daughter{now 12 } who had a lg 7.9 x 5.5x5.5 dermoid cyst in her left ovary. This was found in Mar 16 and her surgery was done on Apr 15.The drs were talking complete hysterectomy and had us totaly scared due to her 20 lb weight loss, cancer was thought to be the cause. She also has a benign brain tumor and had kidney surgery on May 31st.
When they got in there they found a smaller cyst on the right ovary but no cancer! They were able to preserve her ovaries and she is doing well. Still not gaining weight and having nausea but we are looking into that.My daughter started puberty at age 7 and her periods at 10 so she the drs were quite worried about her. She showed no symptoms whatsoever of this, it was found thru an ultrasound of her kidneys looking for stones, quite by accident.

I pray that your daughter's cyst will be the functional kind and no surgery will be needed. Best to you both. Any other questions I will be happy to answer. The main thing is to have an OB/GYN ONC to look after her. They know what they are doing and if she needs surgery they are the ones to do the best job.
Bonnie
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Avatar_n_tn
In case anyone is following up on this case, my daughter had her 2nd ultrasound (after 30days) and the cyst had increased to 8.13 cm.  The radiologist felt it was unlikely that it was a functional cyst, and she was scheduled for surgery.  Her surgery was 2 days ago.  As it turned out, her cyst was on her fallopian tube!  It had twisted several times & a pathologist said it appeared benign.  Her CA-125 test was within normal range.  It was a very frightening time for us, and a good reminder to live every day to the fullest. I wish good health and recovery on all who seek support through this website.
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Avatar_n_tn
I'm really sorry to hear about your daughter Kimbrough. I have to say, i have been really ill with ovarian problems for the last 2 years. I have had 2 surgeries thus far and continue to see numerous specialists. My past ultrasound showed possible malignancy to one of my ovarian cysts. About a year and a half ago was when i first began experiencing this and i had 2 cysts measuring up to a total of about 9.4cm's. These cysts were fluid filled as well. I have a strong history of ovarian cancer in my family; both my grandmother as well as my moms aunt (they were sisters) had ovarian cancer. When this problem first arose, not one of my doctors suggested that the size of the cyst meant possible malignancy (cancer). I wouldn't be too worried,  from what i have experience.. and trust me, i have definitely experienced my fair share of ovarian cysts.. i have not once been told this. i would definitly keep an eye out for your daughter but i would take each day at a time and know that i have had about 14 cysts in the last year and a half and not one of my doctors (i have seen 3 different specialists) has linked the size to ovarian cancer. maybe they are just being cautious? i'm not quite sure. Especially if it is fluid filled, i wouldn't worry. I wish you all the best and i hope that your daughter doesn't have to go through what i am going through. I am going in for my 3rd surgery soon and am scared that the results from my last ultrasound showing possible malignancy will come back showing that my cyst is malignant. I really wish you guys all the best. I would never wish what i have been through on my worst enemy. Take care,

steph
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Avatar_n_tn
it really ***** waiting on those appointments. i have a 15 yr old daughter and she has an ovarian cyst 25 by 23 by 9 inches...Ive been dealing with all these appointments since September...she's had 2 ultrasounds, 1 MRI, and 2 ct scans. so shes gonna have her left ovary and her appendix taken out in early april. She has a lot of pain but shes on pain medicine, so maybe ask her doctor about pain medicine..but just be patient and good luck =)
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Avatar_f_tn
I'm 13 and i have 3 ovarian cyst. I got an ultasound and they wont tell me how big they are, i'm scared. all they did was tell me to take med. for the pain.
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Avatar_n_tn
hey, don't worry. I'm 13 right now and had surgery to remove a cyst 2 weeks ago.  My cyst was 7 inches (yeah, inches - about 18 cm) big, and all went okay. If I did okay, I'm sure you will too =)
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Avatar_f_tn
My 13 year old went into the ER on Wednesday with severe abdonimal pain which she'd had for 2 days, they did a blood & urine test then an ultra sound, told us it was a ruptured ovarain cyst gave her dicyclomine 20mg to take as needed for pain.  In reading your site I'm getting worried they didn't prescribe any antibiotics, today is Friday & she is still in pain maybe slightly less than before.  How long should she endure this before I seek different medical advice?
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Avatar_f_tn
Not all ruptures result in infection, only the possibilty of one. The pain takes time to diminish and there could also be swelling and tenderness. The body has to reabsorb the contents of the cyst. I hope it was just fluid filled. If it also held blood, that adds more pain

If she starts running a higher body temperature that does not have cold / flu symptoms, then an infection is possible and the doctor needs to follow up with antibiotics. I hope she feels better soon. I never like to hear of girls having these problems so young.
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I don't think there is reason to worry. It takes varying amount of time for the pain to diminish completely. I have had a cyst rupture and the pain only last for a couple of days and I have had one rupture and the pain not completely go away for 3 weeks. The first day is the worst. After a few hours the pain becomes manageable but I always feel better if I lay still. When the cysts first ruptures it is IMPOSSILE to lie still but after a while it diminishes and the pain gets worse when you move around. She most definitely needs something for pain management. I have had a lot of cysts rupture and have had a few removed. The worst thing about these cysts is the pain. i have never formed an infection but the pain is often unbearable. I would rather face the risks and inconvenience of the surgeries than deal with the pain if one ruptures.
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Avatar_f_tn
I'm 13 years old, I went into the ER 3 days ago and spent thewhole night/morning there. All the doctors thought that my appendix had ruptured, but it was actually a cyst on my right ovary. It ruptured, but there are 4 more so I have to get a pelvic exam, go onto birthcontron pills and possibly have surgery to remove all 4 cysts and drain my ovary of the fluid from the ruptured one. They said they didn't want me to know how large they are because they don't want me to be scared, so they only told my father and he wouldn't tell me either soI am getting nervous. The doctors said that this probably won't heal before school starts, so I will be in alot of pain during school. I am very sorry about your daughter, just let her know that she's not alone!
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Avatar_f_tn
My daughter Katelin is 13 too. She had her appendix removed on Monday. They done a CatScan and it showd she had 1 cyst that had ruptured and she had free fluid in her pelvis. She had two small cysts one on each fallopiain tube.. When the doctor took her appendix out, she also removed all the cysts. It worries me because she is sooo young for all this trouble. She also has liver disease on top of all this. She has had her share of health problems. Any thoughts on whether or not they will come back or have yours came back.

Thanks.
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Avatar_f_tn
My daughter is 9 and just had her appendix out along with an infarcation of the manartic (prob not spelled right) She also had a cyst on her right O. She has not started  yet and im so worried about the results. Docs dnt give us alot of As but I have alot of Qs. They sent her home from ER first time bc that doc said she was maken up the pain. Then when we took her back 3 days later they saw what was wrong. Shes doing better  but Im worried  plz let me know what happend with your daughter.
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