Complex Ovarian Cyst

Hi, I am 49 years old.  In april 2008 I had uterine ablation for excessive bleeding.  In August 2009 I had mastectomy for breast cancer.  Started taking tamoxifen in October 2009.  I had a period in July 2009 and nothing until March 2010, and bleeding in April May and June.  I have had pain and cramping for months.  I have been having problems with gas and constipation.  Had transvaginal ultrasound and showed fibroid tumors in uterus and a 1.7 cm complex ovarian cyst on right ovary.  I have never had cysts or fibroids before.  My fsh is 31.5 and estradiol was 10.  Don't know if all this means anything or not.  I don't see gyn until august 9 so I am little freaked out.  After last year everything freaks me out.  Should I be worried?  I realize cyst is small but the pain in my right side is not.  Anybody had this happen to them.  Should I be worried?  Thanks

[hopeshell]

I am so sorry you have yet another issue to deal with!  After a cancer dx, any new finding is anxiety producing.  I am the same way.  I was dx with early staged ovarian cancer 3 years ago, and it is like a cloud over my head.  Your cyst is very small and it is very common to have cysts come and go.   Any complex mass does have a greater chance of malignancy than fluid filled cysts, but most turn out to be benign.  Doctors worry more about ovarian cancer when the cyst is complex and becomes 5cm or larger.  But, because of your personal cancer history and the fact that your cyst is determined to be complex, your doctor may decide to remove it to be on the safe side.  Have you been checked for BRCA?  Fibroids are very common and usually do not indicate malignancy.  

Try not to worry...although I know that is easier said than done.  Your doctor will know the best course of treatment.  Without your cancer history, I am sure your doctor would just do regular follow-up on the cyst to make sure it is not growing large.  He may do the same for this cyst even with your history.   Best wishes and keep us posted!  

Shelly